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<title-group><article-title>Assessing Medical Waste Treatment Technique based on Hyperbolic fuzzy EMSWARA with COPRAS and ARAS Approaches</article-title></title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Agarwal</surname><given-names>Nidhi</given-names></name><xref ref-type="aff" rid="aff1"/></contrib>
<contrib contrib-type="author"><name><surname>Dutta</surname><given-names>Palash</given-names></name><xref ref-type="aff" rid="aff1"/></contrib>
<aff id="aff1">Department of Mathematics, Dibrugarh University, Dibrugarh, Assam, India.</aff>
</contrib-group>
<abstract><p>Medical Waste Treatment Techniques (MWTT) have become a significant concern due to the imminent risks they pose to human health and the environment. Proper and secure treatment and disposal of toxic and harmful medical waste are essential and various MWTT options are available to achieve this. The selection of the ideal MWT option is a complex and crucial Multi Criteria Decision Making (MCDM) problem as the decision is influenced by several factors both qualitative and quantitative aspects. This study presents a hybrid MCDM method for analyzing and opting the MWT options within a Hyperbolic fuzzy framework. The Hyperbolic Fuzzy Set (HyFS) is an advanced tool that addresses uncertainty with greater precision, providing more flexibility for the decision makers. An entropy measure and a score function have been introduced in a hyperbolic fuzzy environment. Objective weights are evaluated using the entropy measure while subjective weights are assessed through the Stepwise Weight Assessment Ratio Analysis (SWARA) model. Consequently, a pioneering hybrid MCDM approach is presented combining HyF-EM-SWARA with Complex Proportional Assessment (COPRAS) and Additive Ratio Assessment (ARAS) techniques to identify the optimal MWT option in India. Furthermore, relative evaluations and variability analysis are presented to demonstrate the stability and reliability of the proposed hybrid MCDM methods for ranking the preferences of MWTT.</p></abstract>
<kwd-group kwd-group-type="author"><kwd>Hyperbolic fuzzy set</kwd><kwd>Entropy measure</kwd><kwd>Medical waste treatment</kwd></kwd-group>
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<sec id="sec-1"><label>1</label><title>Introduction</title>
<p>In our everyday lives, we are constantly faced with the need to make decisions, guided by a variety of conditions and pieces of information. Yet, this information often carries a certain vagueness and uncertainty, making over choices all the more challenging and intriguing. To address such situation, Zadeh<xref ref-type="bibr" rid="ref-1">[1]</xref> introduced fuzzy set theory (FST).</p>
<p>Which has numerous applications in real world domains, including risk assessment, operation research, medical diag-nosis, decision making etc. FST assigns a value within the interval [0,1] to each element in a universal set known as membership value/degree of satisfaction(α) while non-membership value/degree of dissatisfaction(β) as 1 − α. But the value of non-membership may not be always one minus the membership value. Due to these limitations, Atanassov <xref ref-type="bibr" rid="ref-2">[2]</xref> introduced the Intuitionistic fuzzy set (IFS), as a generalisation of FST. This framework imposes the condition that the sum of membership value α and non-membership value β cannot exceed 1 i.e., 0 ≤ α + β ≤ 1 where α, β ∈ [0, 1]. Nonetheless, in specific scenarios, where α = 0.7 and β = 0.4, this condition may not be met by IFS. Due to limita-tion of IFS, Yager<xref ref-type="bibr" rid="ref-3">[3]</xref> introduce the Pythagorean Fuzzy Set (PFS), a more adaptable framework. In the realm of PFS, the sum of the squares of membership and non-membership values is constrained to not exceed 1 i.e., 0 ≤ α + β ≤ 1. However, it also has its own limitations. For instance, when one consider values such as α = 0.7 and β = 0.8, we find that this condition cannot be satisfied. Later, Yager<xref ref-type="bibr" rid="ref-4">[4]</xref> extended the PFS to q-rung orthopair fuzzy set (Q-ROFS), where</p>
<p>th</p>
<p>the q sum of membership and non-membership values is restricted to not exceed 1 i.e., 0 ≤ α + β ≤ 1 where q ≥ 1. Q-ROFS significantly expands the decision-making framework, providing greater flexibility compared to other existing fuzzy sets.</p>
<p>In practical scenarios, we often encounter situation where individuals experience complete satisfaction alongside partial dissatisfaction. This duality allows for a possibility of full membership coupled with partial non-membership or vice versa. To address this complexity, Dutta and Borah<xref ref-type="bibr" rid="ref-5">[5]</xref> proposed the Hyperbolic Fuzzy Set (HyFS), which serves as generalisation of IFS, PFS and Q-ROFS. In HyFS, the product of membership and non-membership values cannot exceed 1 i.e., 0 ≤ α.β ≤ 1 thus providing significant flexibility and versatile framework for decision-makers, allowing for scenarios where α = 1 and β &gt; 0 or α &gt; 0 and β = 1, where α, β ∈ [0, 1]. None of the IFS, PFS and Q-ROFS can meet this nuanced requirement making HyFS as a significant advancement in the field of fuzzy sets.</p>
<p>In recent years, the global population has surged, bringing with it a dramatic rise in healthcare facilities and an ever-growing demand for medical services. Within this context, effective medical based treatment has become essential for protecting public health, preventing environmental pollution and ensuring compliance with regulatory standards. Healthcare facilities produce various types of waste, including infectious materials, hazardous substances and pharmaceuticals, all of which can pose serious risks if not managed properly. Ineffective waste management not only threatens our environment but also invites unpleasant odors and attracts pests, such as insects and rodents, which can facilitate the spread of diseases like bacterial infections, HIV and hepatitis. Therefore, selecting the appropriate medical waste treatment technology in crucial for ensuring safety, regulatory compliance, environmental sustainability and cost-effectiveness. The decision-making process in this area is complex and influenced by several factors that can effectively analysed using Multi-Criteria Decision-Making (MCDM) methods. To address this complexity, we propose an integrated framework that evaluates conflicting criteria based on expert assessments. Remarkably, no prior research has explored the application of hybrid MCDM methods within a hyperbolic fuzzy framework, making our approach innovative. Thus, we present the optimal medical waste treatment techniques identified through the HyF-EM-SWARA-COPRAS and HyF-EM-SWARA-ARAS approaches. This research aims to contribute to the development of improved strategies for managing medical waste, ensuring a safer and more sustainable environment.</p>
<sec id="sec-2"><label>1.1</label><title>Literature Review</title>
<p>Zadeh<xref ref-type="bibr" rid="ref-1">[1]</xref> introduced the concept of fuzzy set theory to address the issue of vagueness, uncertainty and imprecision inherent in real-life decision-making scenarios. Since then, numerous extensions of fuzzy sets have emerged, including IFS<xref ref-type="bibr" rid="ref-2">[2]</xref>, PFS<xref ref-type="bibr" rid="ref-3">[3]</xref> and Q-ROFS<xref ref-type="bibr" rid="ref-4">[4]</xref>, each serving as a generalization of traditional fuzzy sets. More recently, Dutta and Borah<xref ref-type="bibr" rid="ref-5">[5]</xref> have developed the HyFS which offers significant flexibility and enough space to the diverse need of decision-makers. The HyFS has garnered substantial interest among researchers focused on decision-making amidst the increasing complexity of contemporary challenges. Numerous studies have utilized HyFS to tackle a variety of MCDM problems. Divsalar et al<xref ref-type="bibr" rid="ref-6">[6]</xref> effectively applied HyFS to the sustainable supplier selection problem within the daily industry. Zavadskas et al<xref ref-type="bibr" rid="ref-7">[7]</xref> employed hyperbolic fuzzy data to establish personalized priorities for contract clauses. Additionally, Banik and Dutta<xref ref-type="bibr" rid="ref-8">[8]</xref> employed HyFS to identify crime-prone zones in Dibrugarh city.</p>
<p>The selection of optimal MWTT is crucial for safeguarding public health and protecting the environment. Extensive research has been conducted to identify the most effective strategies for enhancing MWTT, with fuzzy set theory beinga key component of these studies. However, there is currently no published evaluations concerning MWTT assessment using the HyFS preference structure.</p>
<p>The MCDM methods established in fuzzy environment have demonstrated their efficacy in the selection process for MWTT, highlighting the necessity for further exploration and application of HyFS in this essential area. To address the significant challenges associated with MWTT through traditional decision-making methods<xref ref-type="bibr" rid="ref-9">[9, 10]</xref>. Dursun et al <xref ref-type="bibr" rid="ref-11">[11]</xref> have pioneered a MCDM technique within a fuzzy framework for MWT. Their work introduced two robust fuzzy MCDM frameworks, employing fuzzy integral and a hierarchical distance-based technique which represent a sustain-able advancement in this field. Building on Dursun et al<xref ref-type="bibr" rid="ref-11">[11]</xref> insights, Liu et al<xref ref-type="bibr" rid="ref-12">[12]</xref> advanced the determining the optimal selection for MWT. This was followed by the development of an ILT-MULTIOORA technique by Liu et al<xref ref-type="bibr" rid="ref-13">[13]</xref> which uti-lizes interval 2-tuple linguistic variables. Liu et al<xref ref-type="bibr" rid="ref-14">[14]</xref> evaluated the weights of the criteria using the 2-tuple DAMETAL method and applied the fuzzy MULTIMOORA methodology to assess MWTT comprehensively.</p>
<p>Lu et al<xref ref-type="bibr" rid="ref-15">[15]</xref> introduced an interval 2-tuple induced-TOPSIS method and Xiao<xref ref-type="bibr" rid="ref-16">[16]</xref> unvieled a technique for prioritizing MWTT that assigns crisp values to linguistic variables and leverages D-numbers integration for comprehensive assessment. Hinduja and Pandey<xref ref-type="bibr" rid="ref-17">[17]</xref> formulated a hybrid algorithm that enhances the selection for MWTT. Additionally, Li et al<xref ref-type="bibr" rid="ref-18">[18]</xref> contributed to the dialogue by proposing a hybrid MCDM technique that synergizes the DEMATEL and TOPSIS methods within an interval-valued fuzzy environment. Despite these advancements, a notable gap persists in the literature regarding methodologies that seamlessly integrate both objective and subjective weights for MWT attributes. Both weights plays a vital role in minimizing potential losses while enhancing decision accuracy. The MWT selection problem remains largely unexplored. There exists a significant gap in research utilizing an integrated entropy measure, SWARA model combined with COPRAS or ARAS approaches in a hyperbolic fuzzy environment. Therefore, this research proposes an innovative approach to MWTT selection within a hyperbolic fuzzy environment, effective harnessing the strengths of both objective and subjective weights.</p>
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<sec id="sec-3"><label>1.2</label><title>Motivations and Objectives</title>
<p>By employing MCDM, healthcare facility can adopt efficient solutions that not only comply with regulatory standards, but also advanced sustainability goals. This strategic approach is vital for safeguarding public health and protecting our environment for future generations. One constructive approach to enhancing contemporary MCDM techniques involves carefully establishing appropriate weights for various criteria.</p>
<p>In consideration of the preceding points, the following motivation drive this research :</p>
<p>1. Existing fuzzy set theories often encounter challenges in addressing certain paradoxical situations, creating a significant gap in the handling of uncertainty. The implementation of hyperbolic fuzzy set offers a sophisticated approach that allows for full membership, partial non-membership and their reversals.</p>
<p>2. Entropy measure and score functions plays a pivotal role in determining the weights of criteria and evaluate alternatives within MCDM models. These methodologies can facilitate the development of advanced MCDM techniques such as COPRAS, SAW, ARAS etc. Furthermore, there is no development of entropy measure within a hyperbolic fuzzy environment, highlighting a valuable opportunity for innovation in this area.</p>
<p>3. There is a significant lack of literature addressing the application of hybrid MCDM methods within the hyperbolic fuzzy context.</p>
<p>In consideration of the preceding points, the following are the objectives of this research :</p>
<p>1. Developing a novel score function for HyFS.</p>
<p>2. Developing an entropy measure for HyFS for determining the objective weight of the criteria.</p>
<p>3. A case study to endorse the probable impact of the proposed algorithm in MWTT selection using HyFS.</p>
</sec>
<sec id="sec-4"><label>1.3</label><title>Structure of the paper</title>
<p>The structure of this paper is organized as follows :</p>
<p>In section 2, we provide the definitions of existing fuzzy sets, including IFS, PFS, Q-ROFS and HyFS with some basic operations on HyFS. Section 3 presents a novel entropy measure, score function within hyperbolic fuzzy environment and the algorithms for the EM-SWARA-COPRAS and EM-SWARA-ARAS methods under the HyFSs context. Section 4 demonstrates the practical application of the developed methodology through a case study on selecting the most desirable MWTT option in India. The case study illustrates the strength and robustness of the proposed approach. Also, a comparative analysis is presented that underscores its advantages. Finally, section 5 conclude the paper and outlines future research scope.</p>
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<sec id="sec-5"><label>2</label><title>Preliminaries</title>
<p>This section summarizes some of the definitions and notations necessary for a comprehensive understanding of the study.</p>
<p>Definition 1. <xref ref-type="bibr" rid="ref-4">[4]</xref> Let, X = {x1, x2, ..., xn} represents a Universe of Discourse. A q-rung orthopair fuzzy set (Q-ROFS) Q on X is defined by Q = {(xi, αQ(xi), βQ(xi))|xi ∈ X} where αQ : X → [0, 1] denotes the membership function and βQ : X → [0, 1] denotes the non-membership function of the element xi ∈ X with the restriction 0 ≤ (αQ(xi)) + (βQ(xi)) ≤ 1 where q ≥ 1.</p>
<p>q q q</p>
<p>The degree of hesitancy is determined by πQ(xi) = {1 − αQ(xi)) − (βQ(xi)) } .</p>
<p>Definition 2. A q-rung orthopair fuzzy set is classified as follows :</p>
<p>Intuitionistic Fuzzy Set (IFS)<xref ref-type="bibr" rid="ref-2">[2]</xref> if q = 1 i.e., having the condition 0 ≤ (αQ(xi)) + (βQ(xi)) ≤ 1 Pythagorean Fuzzy Set(PFS)<xref ref-type="bibr" rid="ref-3">[3]</xref> if q = 2 i.e., having the condition 0 ≤ (αQ(xi)) + (βQ(xi)) ≤ 1 Fermatean Fuzzy Set(FFS)<xref ref-type="bibr" rid="ref-43">[43]</xref> if q = 3 i.e., having the condition 0 ≤ (αQ(xi)) + (βQ(xi)) ≤ 1 Quartic Fuzzy Set(QrFS)<xref ref-type="bibr" rid="ref-44">[44]</xref> if q = 4 i.e., having the condition 0 ≤ (αQ(xi)) + (βQ(xi)) ≤ 1 Quintic Fuzzy Set(QnFS)<xref ref-type="bibr" rid="ref-45">[45]</xref> if q = 5 i.e., having the condition 0 ≤ (αQ(xi)) + (βQ(xi)) ≤ 1</p>
<p>Definition 3. <xref ref-type="bibr" rid="ref-5">[5]</xref> Let, X = {x1, x2, ..., xn} represents a Universe of Discourse. A Hyperbolic Fuzzy Set (HyFS) Λ on X is defined by H = {(xi, αΛ(xi), βΛ(xi))|xi ∈ X} where αΛ : X → [0, 1] denotes the membership function and βΛ : X → [0, 1] denotes the non-membership function of the element xi ∈ X with the restriction 0 ≤ (αΛ(xi)).(βΛ(xi)) ≤ 1.</p>
<p>Definition 4. Let, Λ1 = (α1, β1) and Λ2 = (α2, β2) be two HyFSs with λ &gt; 0. Then, the operations on HyFSs are defined as follows:</p>
<p>(i)Λ1 ∪ Λ2 = (max{α1, α2}, min{β1, β2}).</p>
<p>(ii)Λ1 ∩ Λ2 = (min{α1, α2}, max{β1, β2}).</p>
<p>(iii)Λ1 = (1 − α1, 1 − β1).</p>
<p>(iv)Λ1 Λ2 = (α1 + α2 − α1α2, β1β2).</p>
<p>(v)Λ1 Λ2 = (α1α2, β1 + β2 − β1β2).</p>
<p>(vi)λΛ1 = (1 − (1 − α1) , β1 ).</p>
<p>λ λ λ</p>
<p>(vii)Λ1 = (α1 , 1 − (1 − β1 )).</p>
<p>(viii)Λ1 ⊆ Λ2 iff α1 ≤ α2 and β1 ≥ β2.</p>
<p>Definition 5. Let, Λi = (αi, βi), i = 1, 2, ..., n be HyFSs. Then, the hyperbolic fuzzy weighting averaging op-erator (HyFWAO) is defined as Ln Qn Qn</p>
<p>wj</p>
<p>HyFWAw(α1, α2, ..., αn) = wjαj = (1 − (1 − αj)wj, (βj) )</p>
<p>j=1 j=1 j=1</p>
<p>Pn where w = (w1, w2, ..., wn) is a weight vector for αj and wj = 1 with 0 ≤ wj ≤ 1, i = 1, 2, ..., n.</p>
</sec>
<sec id="sec-6"><label>3</label><title>Proposed Work</title>
<p>This section presents a novel entropy measure and a score function within the hyperbolic fuzzy framework, making a significant advancement in MCDM techniques.</p>
<sec id="sec-7"><label>3.1</label><title>A Novel Hyperbolic Fuzzy Entropy Measure</title>
<p>The entropy measure plays a pivotal role in the development of MCDM techniques, as it is essential for identifying the objective weight of attributes. Despite its importance, the hyperbolic fuzzy framework has lacked a suitable entropy measure until now.</p>
<p>Definition 5. Let, HyFN H = (x, y) such that x, y ∈ [0, 1] and 0 ≤ x.y ≤ 1.</p>
<p>A function E : HyFS(X) → [0, 1] is a HyF entropy measure if (i)E(H) = 0 if H is a crisp set.</p>
<p>(ii)E(H) attains its unique maximum when x = y = (iii)E(H) = E(H )</p>
<p>1 1 1 1</p>
<p>(iv)E(H1) ≤ E(H2) if H1 is crisper than H2, i.e., x1 ≤ x2 ≤ , y1 ≤ y2 ≤ or x1 ≥ x2 ≥ , y1 ≥ y2 ≥ where</p>
<p>2 2 2 2</p>
<p>H1 = (x1, y1) and H2 = (x2, y2) A novel HyF entropy measure is proposed as given below :</p>
<p>(2x + 2y − 2) ENP(H) = 1 − . (1) xy + 1 Theorem 1. The function EN P (Λ) is an HyF entropy measure.</p>
</sec>
<sec id="sec-8"><label>3.2</label><title>A Novel Hyperbolic Fuzzy Score Function</title>
<p>We propose a novel score function with the following definitions :</p>
<p>Definition 6. Let, H = (x, y) be a HyFN, then the score function SNP of H is defined as xy + x + 1 SNP(H) = . (2) 2(y + 1) where SN P (H) ∈ [0, 1]</p>
</sec>
</sec>
<sec id="sec-9"><label>4</label><title>Application in MWTT Selection</title>
<p>Medical waste treatment has experienced considerable advancement in recent years due to the growing recognition of public health and environmental imperatives. Various case studies in developing countries have been conducted to identify the optimal MWTT. This study aims to rigorously evaluate the available alternatives for MWT in order to determine the most effective option. The study outlines five prominent technique A1 : autoclaving, A2 : microwave, A3 : plasma pyrolysis, A4 : chemical disinfection, A5 : incineration for MWT in India, which are assessed against ten critical criteria. A team of four experts {E1, E2, E3, E4} is assembled who provided valuable insights into the significance of each criteria<xref ref-type="bibr" rid="ref-46">[46, 20]</xref>. The linguistic variables matrix employed to evaluate the criteria is detailed in <xref ref-type="table" rid="tab1">Table 1</xref>. The experts evaluations of LVs are summarized in <xref ref-type="table" rid="tab2">Table 2</xref>. To effectively rank the MWTTs, the proposed HyF-EM-SWARA-COPRAS and HyF-EM-SWARA-ARAS algorithms are utilized. Moreover, this study is pioneering as it employs a hybrid MCDM method within a hyperbolic fuzzy framework for the selection of MWTT. This research seeks to make a meaningful contribution to the field of medical waste management and public health.</p>
<table-wrap id="tab1"><label>Table 1</label><caption><p>LVs for the criteria based on HyFNs.</p></caption><p content-type="note">This table is shown in the PDF version of the article.</p></table-wrap>
<sec id="sec-10"><title>Importance HyFNs</title>
<p>Extremely good (EG) (1,0) Very good (VG) (0.95,0.05) Good (G) (0.75,0.20) Medium good (MG) (0.65,0.30) Fair (F) (0.55,0.40) Medium poor (MP) (0.40,0.50) Poor (P) (0.30,0.60) Very poor (VP) (0.20,0.70) Extremely poor (EP) (0.10,0.80)</p>
<table-wrap id="tab2"><label>Table 2</label><caption><p>LVs for the level of significance of DEs.</p></caption><p content-type="note">This table is shown in the PDF version of the article.</p></table-wrap>
</sec>
<sec id="sec-11"><title>Importance HyFNs</title>
<p>Extremely significant (1,0) Very significant (0.90,0.05) Significant (0.70,0.20) Moderate (0.60,0.30) Insignificant (0.40,0.50) Very insignificant (0.30,0.80) Extremely insignificant (0.10,0.80) C r i t e r i a</p>
<table-wrap id="tab3"><label>Table 3</label><caption><p>HyF linguistic decision matrix by DEs.</p></caption><p content-type="note">This table is shown in the PDF version of the article.</p></table-wrap>
</sec>
<sec id="sec-12"><title>Alternatives Experts</title>
<p>C1 C2 C3 C4 C5 C6 C7 C8 C9 C10</p>
<p>A1 E1 G P P VG F F F VG G VG E2 F MG F G MG P G P VP G E3 MP G P P G P VG F MG VG</p>
<p>E4 F F P P P VG MG F G MG A2 E1 VG VP F G F MP VG G G VG E2 P G F G MG P G F MP MG E3 F MG P MP G MG G MG F G E4 F MG VP P MP G VG F VG P A3 E1 G VP F G F MP VG G G VG E2 P G G G P F F F P VG E3 F G P P G MP F F F G E4 P VP F VP MG G G G MG MP A4 E1 V MP MG G MG MG P VG MG F E2 P MG F MG MG G MG G P MG E3 F F P P VG MP F G F MG E4 F P VP P MP G G VG D MP A5 E1 VG G F VG F MG F VG MG G E2 VG VG MG F MG G MG MG G G E3 P P G P G MP F G P MP E4 P P MG MG MP F F G F P</p>
<table-wrap id="tab4"><label>Table 4</label><caption><p>Weights of the .</p></caption><graphic content-type="pdf-region" xlink:href="pdf-region:5:61,343.8,552.5,402"/><p content-type="note">This table is shown in the PDF version of the article.</p></table-wrap>
<table-wrap id="tab5"><label>Table 5</label><caption><p>Aggregated HyF-DM.</p></caption><graphic content-type="pdf-region" xlink:href="pdf-region:5:61,182.8,552.5,324.6"/><p content-type="note">This table is shown in the PDF version of the article.</p></table-wrap>
<p>The weights of the DEs are calculated with the results presented in <xref ref-type="table" rid="tab3">Table 3</xref>. For each alternative based on the criteria, a HyF decision matrix is developed by the panel of experts as illustrated in <xref ref-type="table" rid="tab4">Table 4</xref>. The AHyF-DM is then constructed using DE’s weight. The integrated weights for the criteria are determined by combining objective and subjective weights. The objective weights are derived using the Entropy Measure. The entropy values are calculated by employing equation(1) and zj kj pj Sj C5 0.8474 - 1 1 0.1264 C4 0.8354 0.0120 1.0120 0.9881 0.1249 C7 0.6898 0.1456 1.1456 0.9763 0.1234 C8 0.6584 0.0314 1.0314 0.9466 0.1197 C6 0.5197 0.1387 1.1387 0.8313 0.1051 C1 0.2643 0.2554 1.2554 0.6622 0.0837 C3 0.2486 0.0157 1.0157 0.6520 0.0825 C2 0.2336 0.0150 1.0150 0.6424 0.0812 C9 0.1898 0.0438 1.0438 0.6154 0.0778 C10 0.1566 0.0332 1.0332 0.5956 0.0753</p>
<table-wrap id="tab6"><label>Table 6</label><caption><p>The importance of criteria by the DEs.</p></caption><graphic content-type="pdf-region" xlink:href="pdf-region:6:61,573.7,552.5,715.6"/><p content-type="note">This table is shown in the PDF version of the article.</p></table-wrap>
<table-wrap id="tab7"><label>Table 7</label><caption><p>Subjective weights of criteria by HyF-SWARA technique.</p></caption><p content-type="note">This table is shown in the PDF version of the article.</p></table-wrap>
<p>The SWARA model is employed to determine the subjective weights of the criteria. The subjective weight of the criteria are determined using SWARA model is presented in the last column of <xref ref-type="table" rid="tab7">Table 7</xref>. Finally, the integrated/final weights of the criteria are determined. The final weights of the criteria are presented as follows :</p>
<p>wj = {0.1094, 0.1195, 0.1275, 0.1121, 0.0977, 0.1043, 0.0865, 0.0749, 0.0956, 0.0725}</p>
<p>Initially, the COPRAS method is applied to assess the alternative for MWT methods in India. The relative grade and utility grade are presented in <xref ref-type="table" rid="tab8">Table 8</xref>. The results in <xref ref-type="table" rid="tab8">Table 8</xref> distinctly indicates that the ranking order for MWTT is A1 &gt; A2 &gt; A4 &gt; A3 &gt; A5. Alternative A1 emerges as the best option for MWTT.</p>
<p>Moreover, we strengthen our analysis by applying the ARAS method within hyperbolic fuzzy framework. Table 12 shows that the alternatives are ranked as A1 &gt; A2 &gt; A4 &gt; A3 &gt; A5. Thus, A1 is the best option for MWTT.</p>
<table-wrap id="tab8"><label>Table 8</label><caption><p>Findings of the HyF-EM-SWARA-COPRAS method.</p></caption><graphic content-type="pdf-region" xlink:href="pdf-region:6:61,202,552.5,285.7"/><p content-type="note">This table is shown in the PDF version of the article.</p></table-wrap>
</sec>
<sec id="sec-13"><title>Ui 100 96.94 90.34 96.30 77.90</title>
<table-wrap id="tab9"><label>Table 9</label><caption><p>The normalized aggregated HyF-DM (X).</p></caption><graphic content-type="pdf-region" xlink:href="pdf-region:6:61,37.3,552.5,179.1"/><p content-type="note">This table is shown in the PDF version of the article.</p></table-wrap>
<table-wrap id="tab10"><label>Table 10</label><caption><p>Findings of the HyF-EM-SWARA-ARAS method.</p></caption><graphic content-type="pdf-region" xlink:href="pdf-region:7:61,563.5,552.5,717.8"/><p content-type="note">This table is shown in the PDF version of the article.</p></table-wrap>
</sec>
<sec id="sec-14"><title>Fi 0.8029 0.7676 0.6584 0.7452 0.5830</title>
<p>Comparative Analysis. In this section, we present comparison of our proposed technique against existing methodologies, demonstrating the efficacy and advantage of our developed approach for MWTT selection.</p>
<p>In comparison with other developed methodologies for MWTT selection, our approach demonstrates the follow-ing strengths :</p>
<p>1. Methodologies<xref ref-type="bibr" rid="ref-12">[12, 28, 46, 47, 49, 50]</xref> focuses solely on objective weights, disregarding subjective evaluations while methodologies<xref ref-type="bibr" rid="ref-14">[14, 16, 19, 22, 48, 51]</xref> emphasizes subjective weights, disregarding objective weights. This imbalance results in a flawed evaluation, allowing decision-makers to harness valuable human insight while maintaining rigorous analytical standards.</p>
<p>2. In methodologies<xref ref-type="bibr" rid="ref-14">[14, 16, 28, 47, 49, 50]</xref> weights assigned to experts are assumed randomly rather than meticulously computed, resulting in potentially biased and unrealistic outcomes. In critical fields like healthcare and medical waste management such oversights can have profound consequences. Our proposed methodology methodically computes expert weights, ensuring accuracy and reliability.</p>
<p>3. Methodologies<xref ref-type="bibr" rid="ref-16">[16, 20, 51]</xref> neglects the critical nature of attributes which can adversely affect the ranking of alternatives. Our proposed methodology rigorously accounts for these attributes, enhancing the credibility of the results.</p>
<p>4. Additionally, the findings by methodologies<xref ref-type="bibr" rid="ref-21">[21, 22]</xref> which positioned alternative A5 as the second-best option for MWTT, are equally questionable. This option is characterized by harmful emissions, being costly and sustainable energy consumption, all factors that undermining it viability.</p>
</sec>
</sec>
<sec id="sec-15"><label>5</label><title>Conclusion</title>
<p>Hyperbolic fuzzy sets constitutes a novel extension of fuzzy sets, characterized by greater flexibility and independence compared to traditional fuzzy set models. Notably, there has been a lack of entropy measures specifically tailored for HyFSs. To address this gap, an innovative hyperbolic entropy measure have been introduced, along with a new hyperbolic score function that proves to be more logical and reliable than current counterparts. Despite the potential benefits of hybrid methods in hyperbolic fuzzy environment, research in this area has been limited. In response, we present two comprehensive MCDM algorithms : HyF-EM-SWARA-COPRAS and HyF-EM-SWARA-ARAS. The results illustrate that the proposed frameworks effectively address the complexities associated with MWT options, yielding results that are both logical and intuitive for human decision-making.</p>
<p>The selection of an appropriate and effective MWTT has merged as a critical issue in the management of medical waste. This study seeks to addresses the pressing need for an effective method of selecting the optimal MWTT in India. The resulting ranking not only affirms our conclusions but also highlights the superiority of the proposed model. This evidence underscores the necessity for adopting best practices in MWT to promote public health and environmental safety.</p>
<p>Moreover, the HyF-EM-SWARA-COPRAS and HyF-EM-SWARA-ARAS methodologies can be effectively utilized for MCDM challenges. Their application extends to critical areas such as sustainable supplier selection in healthcare, optimizing energy sources for hospitals or even effectively triaging COVID-19 patients. To enhance the effectiveness of the MCDM technique, the additional weight measurement methods AHP, MEREC, CRITIC, BWM and DEMATEL can be incorporated. We can innovate a novel distance measure for HyFSs which can be applied to other MCDM methods such as TOPSIS, EDAS and VIKOR. This strategic approach will significantly elevate the precision and versatility of decision-making processes.</p>
</sec>
<sec id="sec-16"><title>Authors&apos; Contributions</title>
<p>N. A.: Writing-original draft, Methodology, Conceptualization, and Formal Analysis P. D..: Research Design, Computing, Visualization, Writing-Review &amp; Editing and Validation. The authors have read and agreed to the published version of the manuscript.</p>
</sec>
<sec id="sec-17"><title>Data Availability</title>
<p>All data are included in the text.</p>
</sec>
<sec id="sec-18"><title>Funding</title>
<p>This research received no external funding.</p>
</sec>
<sec id="sec-19"><title>Conflict of Interest</title>
<p>The authors declare that in this paper, there is no conflict of interests.</p>
</sec>
<sec id="sec-20"><title>Consent for Publication</title>
<p>The authors have given consent for the publication of this manuscript.</p>
</sec>
<sec id="sec-21"><title>Ethics Approval and Consent to Participate</title>
<p>This study does not involve any research conducted on human participants or animals.</p>
</sec>
</body>
<back><ref-list><title>References</title>
<ref id="ref-1"><label>1</label><mixed-citation>Zadeh, L. A. (1965). Fuzzy sets. Information and Control, 8(3), 338–353.<ext-link ext-link-type="uri" xlink:href="http://dx.doi.org/10.1016/S0019-9958(65)90241-X">http://dx.doi.org/10.1016/S0019-9958(65)90241-X</ext-link></mixed-citation></ref>
<ref id="ref-2"><label>2</label><mixed-citation>Atanassov, K. T. (1986). Intuitionistic fuzzy sets. Fuzzy Sets and Systems, 20(1), 87–96.<ext-link ext-link-type="uri" xlink:href="http://dx.doi.org/10.1016/S0165-0114(86)80034-3">http://dx.doi.org/10.1016/S0165-0114(86)80034-3</ext-link></mixed-citation></ref>
<ref id="ref-3"><label>3</label><mixed-citation>Yager, R. R. (2013). Pythagorean fuzzy subsets. In 2013 Joint IFSA World Congress and NAFIPS Annual Meeting (IFSA/NAFIPS) (pp. 57–61). IEEE.<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1109/IFSA-NAFIPS.2013.6608375">https://doi.org/10.1109/IFSA-NAFIPS.2013.6608375</ext-link></mixed-citation></ref>
<ref id="ref-4"><label>4</label><mixed-citation>Yager, R. R. (2017). Generalized orthopair fuzzy sets. IEEE Transactions on Fuzzy Systems, 25(5), 122– 130.<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1109/TFUZZ.2016.2604005">https://doi.org/10.1109/TFUZZ.2016.2604005</ext-link></mixed-citation></ref>
<ref id="ref-5"><label>5</label><mixed-citation>Dutta, P., &amp; Borah, G. (2023). Construction of hyperbolic fuzzy set and its application in diverse COVID-19 associated problems. New Mathematics and Natural Computation, 19(1), 217–289.</mixed-citation></ref>
<ref id="ref-6"><label>6</label><mixed-citation>Divsalar, M., Ahmadi, M., Ghaedi, M., &amp; Ishizaka, A. (2023). An extended TODIM method under a hyperbolic fuzzy environment. Computers &amp; Industrial Engineering.<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.cie.2023.109655">https://doi.org/10.1016/j.cie.2023.109655</ext-link></mixed-citation></ref>
<ref id="ref-7"><label>7</label><mixed-citation>Zavadskas, E. K., Krishankumar, R., Ravichandran, K. S., Vilkonis, A., &amp; Antucheviciene, J. (2025). Hyperbolic fuzzy set decision framework for construction contracts integrating CRITIC and WASPAS for dispute mitigation. Automation in Construction, 174, 106137. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.autcon.2025.106137">https://doi.org/10.1016/j.autcon.2025.106137</ext-link></mixed-citation></ref>
<ref id="ref-8"><label>8</label><mixed-citation>Banik, A. K., &amp; Dutta, P. (2024). An efficient decision-making method based on hyperbolic fuzzy environment with new score function and its application in determining crime-prone zones. International Journal of Machine Learning and Cybernetics. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1007/s13042-024-02404-z">https://doi.org/10.1007/s13042-024-02404-z</ext-link></mixed-citation></ref>
<ref id="ref-9"><label>9</label><mixed-citation>Brent, A. C., Rogers, D. E., Ramabitsa-Siimane, T. S., &amp; Rohwer, M. B. (2007). Application of the analytical hierarchy process to establish health care waste management systems that minimise infection risks in developing countries. European Journal of Operational Research, 181(1), 403–424.<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.ejor.2006.06.015">https://doi.org/10.1016/j.ejor.2006.06.015</ext-link></mixed-citation></ref>
<ref id="ref-10"><label>10</label><mixed-citation>Diaz, L., Savage, G., &amp; Eggerth, L. (2005). Alternatives for the treatment and disposal of healthcare wastes in developing countries. Waste Management, 25(6), 626–637.<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.wasman.2005.01.005">https://doi.org/10.1016/j.wasman.2005.01.005</ext-link></mixed-citation></ref>
<ref id="ref-11"><label>11</label><mixed-citation>Dursun, M., Karsak, E. E., &amp; Karadayi, M. A. (2011). Assessment of health-care waste treatment alternatives using fuzzy multi-criteria decision-making approaches. Resources, Conservation and Recycling, 57, 98–107. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.resconrec.2011.09.012">https://doi.org/10.1016/j.resconrec.2011.09.012</ext-link></mixed-citation></ref>
<ref id="ref-12"><label>12</label><mixed-citation>Liu, H. C., Wu, J., &amp; Li, P. (2013). Assessment of health-care waste disposal methods using a VIKOR-based fuzzy multi-criteria decision-making method. Waste Management, 33(12), 2744–2751. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.resconrec.2011.09.012">https://doi.org/10.1016/j.resconrec.2011.09.012</ext-link></mixed-citation></ref>
<ref id="ref-13"><label>13</label><mixed-citation>Liu, H. C., You, J. X., &amp; Shan, M. M. (2014). Application of interval 2-tuple linguistic MULTIMOORA method for health-care waste treatment technology evaluation and selection. Waste Management, 34(11), 2355–2364. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.resconrec.2011.09.012">https://doi.org/10.1016/j.resconrec.2011.09.012</ext-link></mixed-citation></ref>
<ref id="ref-14"><label>14</label><mixed-citation>Liu, H. C., You, J. X., Lu, C., &amp; Chen, Y. Z. (2015). Evaluating health-care waste treatment technologies using a hybrid multi-criteria decision-making model. Renewable and Sustainable Energy Reviews, 41, 932–942. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.rser.2014.08.061">https://doi.org/10.1016/j.rser.2014.08.061</ext-link></mixed-citation></ref>
<ref id="ref-15"><label>15</label><mixed-citation>Lu, C., You, J. X., Liu, H. C., &amp; Li, P. (2016). Health-care waste treatment technology selection using the interval 2-tuple induced TOPSIS method. International Journal of Environmental Research and Public Health, 13(6), 562. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3390/ijerph13060562">https://doi.org/10.3390/ijerph13060562</ext-link></mixed-citation></ref>
<ref id="ref-16"><label>16</label><mixed-citation>Xiao, F. (2018). A novel multi-criteria decision-making method for assessing health-care waste treatment technologies based on D numbers. Engineering Applications of Artificial Intelligence, 71, 216–225. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.engappai.2018.03.002">https://doi.org/10.1016/j.engappai.2018.03.002</ext-link></mixed-citation></ref>
<ref id="ref-17"><label>17</label><mixed-citation>Hinduja, A., &amp; Pandey, M. (2018). Assessment of healthcare waste treatment alternatives using an integrated decision support framework. International Journal of Computational Intelligence Systems, 12(1), 318. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.2991/ijcis.2018.125905685">https://doi.org/10.2991/ijcis.2018.125905685</ext-link></mixed-citation></ref>
<ref id="ref-18"><label>18</label><mixed-citation>Li, H., Li, J., Zhang, X., Cao, X., Zhu, J., &amp; Chen, W. (2020). Establishing an interval-valued fuzzy decision-making method for sustainable selection of healthcare waste treatment technologies in emerging economies. Journal of Material Cycles and Waste Management, 22 (2), 501–514. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1007/s10163-019-00943-0">https://doi.org/10.1007/s10163-019-00943-0</ext-link></mixed-citation></ref>
<ref id="ref-19"><label>19</label><mixed-citation>Manupati, V. K., Ramkumar, M., Baba, V., &amp; Agarwal, A. (2021). Selection of the best healthcare waste disposal techniques during and post COVID-19 pandemic era. Journal of Cleaner Production, 281, 125175. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.jclepro.2020.125175">https://doi.org/10.1016/j.jclepro.2020.125175</ext-link></mixed-citation></ref>
<ref id="ref-20"><label>20</label><mixed-citation>Liu, P., Rani, P., &amp; Mishra, A. R. (2021). A novel Pythagorean fuzzy combined compromise solution framework for the assessment of medical waste treatment technology. Journal of Cleaner Production, 292, 126047. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.jclepro.2021.126047">https://doi.org/10.1016/j.jclepro.2021.126047</ext-link></mixed-citation></ref>
<ref id="ref-21"><label>21</label><mixed-citation>Saha, A., Mishra, A. R., Rani, P., Hezam, L. M., &amp; Cavallaro, F. (2022). A q-rung orthopair fuzzy FUCOM double normalization-based multi-aggregation method for healthcare waste treatment method selection. Sustainability, 14(7), 4171. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3390/su14074171">https://doi.org/10.3390/su14074171</ext-link></mixed-citation></ref>
<ref id="ref-22"><label>22</label><mixed-citation>Krishankumar, R., Mishra, A. R., Rani, P., Zavadskas, E. K., Ravichandran, K., &amp; Kar, S. (2022). A new decision model with integrated approach for healthcare waste treatment technology selection with generalized orthopair fuzzy information. Information Sciences, 610, 1010– 1028. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.ins.2022.08.022">https://doi.org/10.1016/j.ins.2022.08.022</ext-link></mixed-citation></ref>
<ref id="ref-23"><label>23</label><mixed-citation>Yang, Y. D., &amp; Ding, X. F. (2023). Emergency response scheme selection with T-spherical hesitant probabilistic fuzzy TODIM-TPZSG approach. Engineering Applications of Artificial Intelligence, 123, 105777. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.engappai.2023.106190">https://doi.org/10.1016/j.engappai.2023.106190</ext-link></mixed-citation></ref>
<ref id="ref-24"><label>24</label><mixed-citation>Liu, J., Liu, P., Liu, S. F., Zhou, X. Z., &amp; Zhang, T. (2015). A study of decision process in MCDM problems with large number of criteria. International Transactions in Operational Research, 22, 237–264. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1111/itor.12102">https://doi.org/10.1111/itor.12102</ext-link></mixed-citation></ref>
<ref id="ref-25"><label>25</label><mixed-citation>Diakoulaki, D., Mavrotas, G., &amp; Papayannakis, L. (1995). Determining objective weights in multiple criteria problems: The CRITIC method. Computers &amp; Operations Research, 22, 763–770. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/0305-0548(94)00059-H">https://doi.org/10.1016/0305-0548(94)00059-H</ext-link></mixed-citation></ref>
<ref id="ref-26"><label>26</label><mixed-citation>Goldstein, W. M. (1990). Judgements of relative importance in decision making: Global vs local interpretations of subjective weight. Organizational Behavior and Human Decision Processes, 47, 313–336. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/0749-5978(90)90041-7">https://doi.org/10.1016/0749-5978(90)90041-7</ext-link></mixed-citation></ref>
<ref id="ref-27"><label>27</label><mixed-citation>Kersuliene, V., Zavadskas, E., &amp; Turskis, Z. (2010). Selection of rational dispute resolution method by applying new step-wise weight assessment ratio analysis (SWARA). Journal of Business Economics and Management, 11, 243–258. <ext-link ext-link-type="uri" xlink:href="https://www.tandfonline.com/doi/abs/10.3846/jbem.2010.12">https://www.tandfonline.com/doi/abs/10.3846/jbem.2010.12</ext-link></mixed-citation></ref>
<ref id="ref-28"><label>28</label><mixed-citation>Joshi, D., &amp; Kumar, S. (2014). Intuitionistic fuzzy entropy and distance measure based TOPSIS method for multi-criteria decision making. Egyptian Informatics Journal, 15(2), 97–104. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.eij.2014.03.002">https://doi.org/10.1016/j.eij.2014.03.002</ext-link></mixed-citation></ref>
<ref id="ref-29"><label>29</label><mixed-citation>De Luca, A., &amp; Termini, S. (1972). A definition of a nonprobabilistic entropy in the setting of fuzzy sets theory. Information and Control, 20(4), 301–312. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/B978-1-4832-1450-4.50020-1">https://doi.org/10.1016/B978-1-4832-1450-4.50020-1</ext-link> Get rights and content</mixed-citation></ref>
<ref id="ref-30"><label>30</label><mixed-citation>Szmidt, E., &amp; Kacprzyk, J. (2001). Entropy for intuitionistic fuzzy sets. Fuzzy Sets and Systems, 118(3), 467–477. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/S0165-0114(98)00402-3">https://doi.org/10.1016/S0165-0114(98)00402-3</ext-link></mixed-citation></ref>
<ref id="ref-31"><label>31</label><mixed-citation>Chen, S. M., &amp; Tan, J. M. (1994). Handling multicriteria fuzzy decision-making problems based on vague set theory. Fuzzy Sets and Systems, 67(2), 163–172. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/0165-0114(94)90084-1">https://doi.org/10.1016/0165-0114(94)90084-1</ext-link></mixed-citation></ref>
<ref id="ref-32"><label>32</label><mixed-citation>Zavadskas, E., &amp; Turskis, Z. (2010). A new additive ratio assessment (ARAS) method in multicriteria decision-making. Technological and Economic Development of Economy, 16(2), 159–172. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/0165-0114(94)90084-1">https://doi.org/10.1016/0165-0114(94)90084-1</ext-link></mixed-citation></ref>
<ref id="ref-33"><label>33</label><mixed-citation>Zavadskas, E. K., Turskis, Z., &amp; Vilutiene, T. (2010). Multi criteria analysis of foundation instalment alternatives by applying additive ratio assessment (ARAS) method. Archives of Civil and Mechanical Engineering, 10(3), 123–141. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/S1644-9665(12)60141-1">https://doi.org/10.1016/S1644-9665(12)60141-1</ext-link></mixed-citation></ref>
<ref id="ref-34"><label>34</label><mixed-citation>Karabasevic, D., Zavadskas, E., Turskis, Z., &amp; Stanujkic, D. (2016). The framework for the selection of personnel based on the SWARA and ARAS methods under uncertainties. Informatica, 27, 49–56. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3233/INF-2016-1090">https://doi.org/10.3233/INF-2016-1090</ext-link></mixed-citation></ref>
<ref id="ref-35"><label>35</label><mixed-citation>Medineckiene, M., Zavadskas, E., Björka, F., &amp; Turskis, Z. (2015). Multicriteria decision-making system for sustainable building assessment/certification. Archives of Civil and Mechanical Engineering, 15(1), 11–18. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.acme.2014.09.001">https://doi.org/10.1016/j.acme.2014.09.001</ext-link></mixed-citation></ref>
<ref id="ref-36"><label>36</label><mixed-citation>Mishra, A. R., Sisodia, G., Pardasani, K. R., &amp; Sharma, K. (2020). Multi-criteria IT personnel selection on intuitionistic fuzzy information measures and ARAS methodology. Iranian Journal of Fuzzy Systems, 17(4), 55–68. <ext-link ext-link-type="uri" xlink:href="https://ijfs.usb.ac.ir/article_5406_773e304765eced9372865246c596bf2a.pdf">https://ijfs.usb.ac.ir/article_5406_773e304765eced9372865246c596bf2a.pdf</ext-link></mixed-citation></ref>
<ref id="ref-37"><label>37</label><mixed-citation>Bakshi, T., &amp; Sinharay, A. (2011). An integrated novel approach in MCDM under fuzziness. International Journal of Computer and Communication Technology, 2(7), 36–43. <ext-link ext-link-type="uri" xlink:href="https://core.ac.uk/download/pdf/480907033.pdf">https://core.ac.uk/download/pdf/480907033.pdf</ext-link></mixed-citation></ref>
<ref id="ref-38"><label>38</label><mixed-citation>Bakshi, T., &amp; Sarkar, B. (2011). MCA based performance evaluation of project selection. International Journal of Software Engineering and Applications, 2(2), 14–22. <ext-link ext-link-type="uri" xlink:href="https://core.ac.uk/download/pdf/480907033.pdf">https://core.ac.uk/download/pdf/480907033.pdf</ext-link></mixed-citation></ref>
<ref id="ref-39"><label>39</label><mixed-citation>Zavadskas, E. K., Kaklauskas, A., &amp; Sarka, V. (1994). The new method of multicriteria complex proportional assessment of projects. Technological and Economic Development of Economy, 1, 131–139. <ext-link ext-link-type="uri" xlink:href="https://etalpykla.vilniustech.lt/handle/123456789/111916">https://etalpykla.vilniustech.lt/handle/123456789/111916</ext-link></mixed-citation></ref>
<ref id="ref-40"><label>40</label><mixed-citation>Organ, A., &amp; Yalçin, E. (2016). Performance evaluation of research assistants by COPRAS method. European Scientific Journal, 12, 102–109. <ext-link ext-link-type="uri" xlink:href="https://B2n.ir/tx2013">https://B2n.ir/tx2013</ext-link></mixed-citation></ref>
<ref id="ref-41"><label>41</label><mixed-citation>Hezer, S., Gelme, E., &amp; Özceylan, E. (2021). Comparative analysis of TOPSIS, VIKOR and COPRAS methods for the COVID-19 regional safety assessment. Journal of Infection and Public Health, 14, 775–786. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.jiph.2021.03.003">https://doi.org/10.1016/j.jiph.2021.03.003</ext-link></mixed-citation></ref>
<ref id="ref-42"><label>42</label><mixed-citation>Sahabuddin, M., &amp; Khan, I. (2021). Multi-criteria decision analysis methods for energy sector’s sustainability assessment: Robustness analysis through criteria weight change. Sustainable Energy Technologies and Assessments, 47, 101380. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.seta.2021.101380">https://doi.org/10.1016/j.seta.2021.101380</ext-link></mixed-citation></ref>
<ref id="ref-43"><label>43</label><mixed-citation>Senapati, T., &amp; Yager, R. R. (2020). Fermatean fuzzy sets. Journal of Ambient Intelligence and Humanized Computing, 11, 663–674. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1007/s12652-019-01377-0">https://doi.org/10.1007/s12652-019-01377-0</ext-link></mixed-citation></ref>
<ref id="ref-44"><label>44</label><mixed-citation>Arora, H. D., &amp; Naithani, A. (2023). A new definition for quartic fuzzy sets with hesitation grade applied to multi-criteria decision-making problems under uncertainty. Decision Analytics Journal, 7, 100239. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.dajour.2023.100239">https://doi.org/10.1016/j.dajour.2023.100239</ext-link></mixed-citation></ref>
<ref id="ref-45"><label>45</label><mixed-citation>Dutta, P., &amp; Konwar, A. (2024). Quintic fuzzy sets: A new class of fuzzy sets for solving multi-criteria decision-making problems under certainty. Decision Analytics Journal, 11, 100449. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.dajour.2024.100449">https://doi.org/10.1016/j.dajour.2024.100449</ext-link></mixed-citation></ref>
<ref id="ref-46"><label>46</label><mixed-citation>Mishra, A. R., Mardani, A., Rani, P., &amp; Zavadskas, E. K. (2020). A novel EDAS approach on intuitionistic fuzzy set for assessment of health-care waste disposal technology using a parametric divergence measure. Journal of Cleaner Production, 272, 122807. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.jclepro.2020.122807">https://doi.org/10.1016/j.jclepro.2020.122807</ext-link></mixed-citation></ref>
<ref id="ref-47"><label>47</label><mixed-citation>Dursun, M., Karsak, E. E., &amp; Karadayi, M. A. (2011). A fuzzy multi-criteria group decision-making framework for evaluating health-care waste disposal alternatives. Expert Systems with Applications, 38(9), 11453–11462. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.eswa.2011.03.019">https://doi.org/10.1016/j.eswa.2011.03.019</ext-link></mixed-citation></ref>
<ref id="ref-48"><label>48</label><mixed-citation>Memari, A., Dargi, A., Jokar, M. R. A., Ahmad, R., &amp; Rahim, A. R. A. (2019). Sustainable supplier selection: A multi-criteria intuitionistic fuzzy TOPSIS method. Journal of Manufacturing Systems, 50, 9–24. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.jmsy.2018.11.002">https://doi.org/10.1016/j.jmsy.2018.11.002</ext-link></mixed-citation></ref>
<ref id="ref-49"><label>49</label><mixed-citation>Zheng, Y., Xu, J., &amp; Chen, H. (2020). TOPSIS-based entropy measure for intuitionistic trapezoidal fuzzy sets and application to multi-attribute decision making. Mathematical Biosciences and Engineering, 17(5), 5604–5617. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3934/mbe.2020301">https://doi.org/10.3934/mbe.2020301</ext-link></mixed-citation></ref>
<ref id="ref-50"><label>50</label><mixed-citation>Salimian, S., &amp; Mousavi, S. M. (2022). The selection of healthcare waste treatment technologies by a multi-criteria group decision-making method with intuitionistic fuzzy set. Journal of Industrial and Systems Engineering, 14(1), 205–220. <ext-link ext-link-type="uri" xlink:href="https://www.jise.ir/arti-cle_139146.html">https://www.jise.ir/arti-cle_139146.html</ext-link></mixed-citation></ref>
<ref id="ref-51"><label>51</label><mixed-citation>Rani, P., Mishra, A. R., Krishankumar, R., Ravichandran, K. S., &amp; Gandomi, A. H. (2022). A new Pythagorean fuzzy based decision framework for assessing healthcare waste treatment. IEEE Transactions on Engineering Management, 69(6), 2915– 2929.<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1109/TEM.2020.3023707">https://doi.org/10.1109/TEM.2020.3023707</ext-link></mixed-citation></ref>
<ref id="ref-52"><label>52</label><mixed-citation>Alagöz, B. A. Z., &amp; Koasoy, G. (2007). Treatment and disposal alternatives for health-care waste in developing countries: A case study in Istanbul, Turkey. Waste Management and Research, 25(1), 83–89. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1109/TEM.2020.3023707">https://doi.org/10.1109/TEM.2020.3023707</ext-link></mixed-citation></ref>
<ref id="ref-53"><label>53</label><mixed-citation>Wang, L., &amp; Wang, H. (2022). An integrated qualitative group decision-making method for assessing health-care waste treatment technologies based on linguistic terms with weakened hedges. Applied Soft Computing, 117, 205–220. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.asoc.2022.108435">https://doi.org/10.1016/j.asoc.2022.108435</ext-link></mixed-citation></ref>
</ref-list></back>
</article>