21 research outputs found
Particularities of tinnitus in children and adolescents
No full textTinnitus is a common otologic symptom and probably the most troublesome. Tinnitus causes a number of physical and psychological consequences, that interfere with the quality of life of the patient. Many authors believe that the presence of tinnitus in children is a matter of lesser importance than in adults because it is met less frequently and would be a fleeting symptom, inoffensive for them (Graham, 1981). In addition, the prevalence of tinnitus during adolescence and even in young adults is increasing, possibly as a consequence of the increased ambient noise (Bulbul SF, Shargorodsky J). Various therapeutic approaches have generated different results, which led us to consider the role of psychological factors, hence the need to underline the particularities of this symptom in childhood.
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Chondrosarcoma of the larynx - case report
No full textIn recent decades, advances in medical research brought major changes in the understanding and management of mental retardation. Children with mental retardation may associate many somatic and psychiatric disturbances and also hearing impairment in 10% of cases. However, for children with mental retardation, a delay in speech will be noted. Many children have dyslalic speech and a reduced vocabulary. They understand basic speech, but they are not always accessible to more complex verbal expressions. Comorbidity with hearing loss will result in a more difficult language development in these children, requiring a collaborative team with psychiatrist, ENT specialist, psychologist, speech therapeut, with the earliest detection of sensory impairment and, as much as possible, adjusting it to allow the development to the maximum capacity of these children. It is necessary to apply early intervention, to stimulate individual available capacity by using specific psycho-pedagogical measures and appropriate treatments for correcting auditory difficulties.
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The Development of a Fuzzy Logic System in a Stochastic Environment with Normal Distribution Variables for Cash Flow Deficit Detection in Corporate Loan Policy
No full textThis paper develops a Mamdani fuzzy logic system (FLS) that has stochastic fuzzy input variables designed to identify cash-flow deficits in bank lending policies. These deficits do not cover the available cash-flow (CFA) resulting from the company’s operating activity. Thus, due to these deficits, solutions must be identified to avoid companies’ financial difficulties. The novelty of this paper lies in its using stochastic fuzzy variables, or those categories of variables that are defined by fuzzy sets, characterized by normally distributed density functions specific to random variables, and characterized by fuzzy membership functions. The variation intervals of the stochastic fuzzy variables allow identification of the probabilistic risk situations to which the company is exposed during the crediting period using the Mamdani-type fuzzy logic system. The mechanism of implementing the fuzzy logic system is based on two stages. The first is based on the determination of the cash-flow requirements resulting from loan reimbursement and interest rates. This stage has the role of determining the need for financial resources to cover the liabilities. The second stage is based on the identification of the stochastic fuzzy variables which have a role in influencing the cash flow deficits and the probability values estimation of these variables taking into account probability calculations. Based on these probabilistic values, using the Mamdani fuzzy logic system, estimations are computed for the available cash-flow (the output variable). The estimated values for CFA are then used to detect probability risk situations in which the company will not have enough resources to cover its liabilities to financial creditors. All the FLS calculations refer to future time periods. Testing and simulating the fuzzy controller confirms its functionality
A Fuzzy Logic Algorithm for Optimizing the Investment Decisions within Companies
No full textAs companies operate in a competitive environment, where the struggle for survival on the market is rather tough, the top management face new challenges to identify methods, and even techniques, which allows it to select from the market those assets that provide an optimal ratio between the acquisition cost and the economic performance. In this context, a fuzzy logic managerial decision tool for the assets acquisition is proposed with the paper. The algorithm has three main components: the matrix of the membership degree of the existing bids to asset selection criteria, using fuzzy triangular numbers; the vector of the global membership degree of the bids to the selection criteria and the maximum of the global membership degree as an inference operator for establishing the validated bids by the algorithm. Two scenarios of asset acquisition were tested. After simulations, it was determined that the proposed fuzzy logic managerial decision tool combines, with very good results, the acquisition cost of the assets with their economic performance
Neutrosophic Portfolios of Financial Assets. Minimizing the Risk of Neutrosophic Portfolios
No full textThis paper studies the problem of neutrosophic portfolios of financial assets as part of the modern portfolio theory. Neutrosophic portfolios comprise those categories of portfolios made up of financial assets for which the neutrosophic return, risk and covariance can be determined and which provide concomitant information regarding the probability of achieving the neutrosophic return, both at each financial asset and portfolio level and also information on the probability of manifestation of the neutrosophic risk. Neutrosophic portfolios are characterized by two fundamental performance indicators, namely: the neutrosophic portfolio return and the neutrosophic portfolio risk. Neutrosophic portfolio return is dependent on the weight of the financial assets in the total value of the portfolio but also on the specific neutrosophic return of each financial asset category that enters into the portfolio structure. The neutrosophic portfolio risk is dependent on the weight of the financial assets that enter the portfolio structure but also on the individual risk of each financial asset. Within this scientific paper was studied the minimum neutrosophic risk at the portfolio level, respectively, to establish what should be the weight that the financial assets must hold in the total value of the portfolio so that the risk is minimum. These financial assets weights, after calculations, were found to be dependent on the individual risk of each financial asset but also on the covariance between two financial assets that enter into the portfolio structure. The problem of the minimum risk that characterizes the neutrosophic portfolios is of interest for the financial market investors. Thus, the neutrosophic portfolios provide complete information about the probabilities of achieving the neutrosophic portfolio return but also of risk manifestation probability. In this context, the innovative character of the paper is determined by the use of the neutrosophic triangular fuzzy numbers and by the specific concepts of financial assets, in order to substantiating the decisions on the financial markets
Linear Programming and Fuzzy Optimization to Substantiate Investment Decisions in Tangible Assets
No full textThis paper studies the problem of tangible assets acquisition within the company by proposing a new hybrid model that uses linear programming and fuzzy numbers. Regarding linear programming, two methods were implemented in the model, namely: the graphical method and the primal simplex algorithm. This hybrid model is proposed for solving investment decision problems, based on decision variables, objective function coefficients, and a matrix of constraints, all of them presented in the form of triangular fuzzy numbers. Solving the primal simplex algorithm using fuzzy numbers and coefficients, allowed the results of the linear programming problem to also be in the form of fuzzy variables. The fuzzy variables compared to the crisp variables allow the determination of optimal intervals for which the objective function has values depending on the fuzzy variables. The major advantage of this model is that the results are presented as value ranges that intervene in the decision-making process. Thus, the company’s decision makers can select any of the result values as they satisfy two basic requirements namely: minimizing/maximizing the objective function and satisfying the basic requirements regarding the constraints resulting from the company’s activity. The paper is accompanied by a practical example
Optimization of Financial Asset Neutrosophic Portfolios
No full textThe purpose of this paper was to model, with the help of neutrosophic fuzzy numbers, the optimal financial asset portfolios, offering additional information to those investing in the capital market. The optimal neutrosophic portfolios are those categories of portfolios consisting of two or more financial assets, modeled using neutrosophic triangular numbers, that allow for the determination of financial performance indicators, respectively the neutrosophic average, the neutrosophic risk, for each financial asset, and the neutrosophic covariance as well as the determination of the portfolio return, respectively of the portfolio risk. There are two essential conditions established by rational investors on the capital market to obtain an optimal financial assets portfolio, respectively by fixing the financial return at the estimated level as well as minimizing the risk of the financial assets neutrosophic portfolio. These conditions allowed us to compute the financial assets’ share in the total value of the neutrosophic portfolios, for which the financial return reaches the level set by investors and the financial risk has the minimum value. In financial terms, the financial assets’ share answers the legitimate question of rational investors in the capital market regarding the amount of money they must invest in compliance with the optimal conditions regarding the neutrosophic return and risk
Modeling the Covariance of Financial Assets Using Neutrosophic Fuzzy Numbers
No full textThis paper aims to model the covariance of financial assets using neutrosophic fuzzy numbers. Two main concepts are discussed and used, namely the neutrosophic covariance of the financial assets and the independent neutrosophic portfolios. In terms of methodology, a three-step approach is proposed with the purpose of identifying the independent neutrosophic portfolio return, the independent neutrosophic portfolio risk and the structure of the independent neutrosophic portfolio. For this purpose, neutrosophic fuzzy theory is chosen for this type of approach as it allows a proper modeling of the financial performance indicators by taking into account the probabilities of their achievement. This action is possible even in the situation in which linguistic variables are used for better characterizing the values of the recorded data. Numerical examples are provided in each stage of the methodology description for a better understanding of the proposed approach. The results of the study can be used to substantiate the decisions made by the capital market investors
Detecting financial sustainability risk of the assets using MAMDANI fuzzy controller
No full textThe paper aims to develop a MAMDANI fuzzy controller for detecting the financial sustainability risk of the assets owned by the company. This type of risk indicates when an asset no longer produces economic benefits to the company, or the benefits are small enough to no longer justify the asset maintaining in working order. The proposed fuzzy controller has as input variables the asset operating expenses and the variation of this category of expenses from one analysis period to another. The controller's objective function is to keep operating costs at their initial state and thus reducing the financial sustainability risk. The controller's output variable is represented by the economic benefits variation, considered to be an essential component in the financial sustainability risk analysis. The obtained results were interpreted taking into account the objective function of the controller as well as the evolution of the input variables. Two simulations for fuzzy controllers were made, with the mention that the variation ranges for the input variables were delimited. In practice, fuzzy controllers can be generated according to company policies to keep under control the expense categories that accompany the asset exploitation
