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Case report

4q interstitial and terminal deletion: clinical features comparison in two unrelated children

  • † These two authors contributed equally.
  • Received: 04 January 2023 Revised: 24 April 2023 Accepted: 11 May 2023 Published: 26 May 2023
  • The 4q deletion syndrome defines a disorder, which may involve patients affected by either the deletion of the interstitial region from the centromere to 4q31 or by the deletion of the terminal region from 4q31 to 4qter. Here, we describe clinical phenotypes of two unrelated children of the same age followed at the same time, with case 1 presenting with 4q interstitial and case 2 with terminal 4q deletion, and compare them each other and with those reported in the literature. Both children showed complex, heterogeneous clinical manifestations, including craniofacial features, pre-postnatal growth failure, speech and developmental delay. In case 2, thyroid and cholesterol dysfunction were also found. Analyzing these data, clinical differences between interstitial and terminal 4q deletions are scanty and no significant phenotype differences were found between the 4q regions deleted as observed in the comparison of the two children and the related cases of the literature. The term 4q deletion syndrome - inclusive for both the interstitial and terminal 4q regions deleted - seems to be appropriate. To note, the dysfunction of cholesterol metabolism and thyroid presented by case 2 may be clinically worthwhile, whether confirmed by other observations.

    Citation: Piero Pavone, Xena Giada Pappalardo, Riccardo Lubrano, Salvatore Savasta, Alberto Verrotti, Pasquale Parisi, Raffaele Falsaperla. 4q interstitial and terminal deletion: clinical features comparison in two unrelated children[J]. AIMS Medical Science, 2023, 10(2): 130-140. doi: 10.3934/medsci.2023011

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  • The 4q deletion syndrome defines a disorder, which may involve patients affected by either the deletion of the interstitial region from the centromere to 4q31 or by the deletion of the terminal region from 4q31 to 4qter. Here, we describe clinical phenotypes of two unrelated children of the same age followed at the same time, with case 1 presenting with 4q interstitial and case 2 with terminal 4q deletion, and compare them each other and with those reported in the literature. Both children showed complex, heterogeneous clinical manifestations, including craniofacial features, pre-postnatal growth failure, speech and developmental delay. In case 2, thyroid and cholesterol dysfunction were also found. Analyzing these data, clinical differences between interstitial and terminal 4q deletions are scanty and no significant phenotype differences were found between the 4q regions deleted as observed in the comparison of the two children and the related cases of the literature. The term 4q deletion syndrome - inclusive for both the interstitial and terminal 4q regions deleted - seems to be appropriate. To note, the dysfunction of cholesterol metabolism and thyroid presented by case 2 may be clinically worthwhile, whether confirmed by other observations.



    Abbreviations: FST: Fuzzy set theory; BFST: Bipolar fuzzy set theory; CFST: Complex fuzzy set theory; BCFST: Bipolar complex fuzzy set theory; BM: Bonferroni mean; BCFBM: Bipolar complex fuzzy Bonferroni mean; BCFNWBM: Bipolar complex fuzzy normalized weighted Bonferroni mean; BCFOWBM: Bipolar complex fuzzy ordered weighted Bonferroni mean; MADM: Multiattribute decision-making; SG: Supporting grade

    In mathematics, the decision-making technique is the procedure of expressing real life problems and events in a mathematical and statistical format or language. Many techniques exist in the field of mathematics and are used for evaluating or carrying out mathematical and statistical problems and one of these techniques is fuzzy set theory (FST). Zadeh [1] enhanced the classical set theory and initiated the idea of FST in 1965. The information of FST is the group of supportive grade (SG) that gives values belonging to [0, 1]. After successful presentation of the idea of FST, a lot of researchers have enhanced and employed this idea in many fields worldwide, for instance, the qualitative comparative analysis based on FST utilized by Ding and Grundmann [2], Ahamed et al. [3] initiated the layout methodology based on FST and discussed their application, Chen and Tian [4] diagnosed the digital transformation using FST. Furthermore, the fuzzy set measures Python library was deliberated by Sidiropoulos et al. [5] and Kumar et al. [6] diagnosed the fuzzy set qualitative comparative analysis in business and management sciences.

    Classical set theory and FST have attained a lot of attention and some researchers have done a lot of work in this direction, but as there are some situations where FST fails to work, for instance, if an expert considers economy of a country then along with exports of the country the expert will have also to consider imports of the country. Then in this scenario the notion of FST fails, because here the expert needs some tool which can handle such type of situation that is there is a need of a tool which can handle not only the positive SG but also the negative SG. To overcome this problem Zhang [7] initiated the notion of bipolar FST (BFST). The main structure of BFST includes two functions, called positive and negative SG having values in [0, 1] and [-1, 0] respectively. After successful presentation of the idea of BFST, many researchers enhanced and employed this notion further, for instance, Mahmood [8] initiated the notion of bipolar soft sets, Jana et al. [9] initiated the Dombi operators for BFST, Wei et al. [10] initiated the Hamacher operators for BFST, Jana et al. [11] presented the Dombi prioritized operators for BFST, Zadrozny and Kacprzyk [12] introduced the bipolar queries, Jana and Pal [13] established the extended BFST with EDAS technique, Lu et al. [14] explored the bipolar 2-tuple linguistic information, Jana [15] established the MABAC technique using BFST and worked on their applications, Zhang et al. [16] exposed supply chain management using BFST and Tchangani [17] initiated the theory of normal classification based on weighted cardinal fuzzy measures for BFST and discussed their applications in DM. Akram et al. [18] presented a BF complex linear system. Haque [19] initiated assessing infrastructural encroachment and fragmentation in east Kolkata. Akram and Arshad [20] presented BF TOPSIS and BF ELECTRE-I methods. MCDM technique in the setting of BF was initiated by Alghamdi et al. [21]. The extended TOPSIS technique in the setting of BF was diagnosed by Sarwar et al. [22]. Singh and Kumar [23] presented BF graph. Akram and Arshad [24] established a novel trapezoidal BF TOPSIS technique for DM. The graphs for the analysis of BF data were interpreted by Akram et al. [25].

    For Mathematicians it is of great interest to discuss FST of the type in which the membership values are not the real numbers but the complex numbers. To address this issue, Ramot et al. [26] generalized the notion of FS by enhancing the SG defining from a universal set to the unit disc {zC:|z|1}, called complex FS (CFS). After the introduction of CFS theory (CFST), many researchers worked on it, for instance, Liu et al. [27] worked on complex fuzzy cross-entropy measures, Mahmood and Ali [28] worked on complex fuzzy neighborhood operators, Zeeshan et al. [29] initiated the notion of complex fuzzy soft sets, Qudah and Hassan [30] initiated the notion of complex multifuzzy sets, Luqman et al. [31] worked on analysis of hypergraph structure by using CFST, Thirunavukarasu et al. [32] discussed some applications of complex fuzzy soft set theory, Mahmood et al. [33] initiated the notion of complex fuzzy N-soft sets and Alkouri [34] initiated the notion of complex generalised fuzzy soft set.

    To generalize the notions of BFST and CFST, Mahmood and Ur Rehman [35] initiated the notion bipolar complex fuzzy set theory (BCFST). Multi-attribute decision making based BCFST is discussed in [36,37,38].

    The main theme of this analysis is stated below:

    a) We will show how to utilize this new idea.

    b) We will show how to aggregate the information into a singleton set.

    c) and how to find the best optimal.

    For handling the above problems, we noticed that the theory of BM operators based on BCF information is much more suitable. Because some people have evaluated BM operators based on fuzzy sets and their extensions. The major theme of the BM operator was initiated by Bonferroni [38] in 1950, which proved to be a very effective tool for combining a collection of attributes. Furthermore, Yager [39] diagnosed the generalized BM operators. The geometric BM operator was developed by Xia et al. [40]. The generalized BM operators were also diagnosed by Beliakov et al. [41]. To aggregate or accumulate the collection of a finite number of information into a singleton set, the BM operator plays a very beneficial and dominant role in accurately evaluating the collection of information. The BM operator is massive powerful than the averaging/geometric operators because they are the specific case of the initiated operators. However, in some real life problems, it is a very problematic situation for an expert to capture the relationship between any terms of attributes. For instance, if in some situation we need to find the quality of the laptop, its efficiency, and working capability. Therefore, one thing that is essential for decision-makers is how to find the relation among attributes to make a massive beneficial decision. Additionally, due to the ambiguity and uncertainty of decision-making problems, it is essential to compute a new structure based on BCFST that is helpful to evaluate difficult and unreliable information in real life problems. The main analyses of the introduced approaches are explained below:

    a) To deliberate the idea of BCFBM, BCFNWBM, and BCFOWBM operators. Furthermore, some properties and results of the deliberated operators are established.

    b) To compute the required decision from the group of opinions, we computed a MADM problem based on the initiated operators for BCF information to evaluate the difficult and unachievable problems.

    c) To compare the presented operators with some prevailing operators, we illustrate some examples and try to evaluate the graphical interpretation of the established work to boost the worth of the proposed theory. The influences of the BCFS and their restrictions are available in Table 1.

    Table 1.  Represented the quality and features of fuzzy sets and their generalizations.
    Methods Positive grade Positive and negative grade Contained imaginary part Deal with two-dimension information
    Fuzzy sets × × ×
    Bipolar fuzzy sets × ×
    Complex fuzzy sets ×
    Bipolar complex fuzzy sets

     | Show Table
    DownLoad: CSV

    Main structure of the current study is organized as: In Section 2, we revise the idea of BCFS and their operational laws with the theory of BM operators. In Section 3, we deliberate the idea of BCFBM, BCFNWBM, and BCFOWBM operators. Furthermore, some properties and results of the deliberated operators are established. In Section 4, to compute the required decision from the group of opinions, we computed a MADM problem based on the initiated operators for BCF information to evaluate the difficult and unachievable problems. Finally, by comparing the presented operators with some existing operators, we illustrate some examples and try to evaluate the graphical interpretation of the diagnosed work to boost the worth of the proposed theory. The final concluding remarks are explained in Section 5.

    BM operator works as a tool for aggregating the collection of alternatives into a singleton set. The comparison of BM operators with averaging/geometric operators is massive powerful because they are the particular cases of the initiated operators. The main theme of this review section is to revise the conception of BCFST and their elementary operational laws with BM operators.

    Definition 1. [35] A mathematical structure of BCFS is of the form:

    J={(τ,γ+J(τ),γJ(τ))|τT} (1)

    where γ+J(τ):T[0,1]+i[0,1] and γJ(τ):T[1,0]+i[1,0], as known as the positive and negative SG: γ+J(τ)=λ+J(τ)+iδ+J(τ) and γJ(τ)=λJ(τ)+iδJ(τ), with λ+J(τ),δ+J(τ)[0,1] and λJ(τ),δJ(τ)[1,0]. In simple words, we named the BCF number (BCFN)

    J=(τ,γ+J(τ),γJ(τ))=(τ,λ+J(τ)+iδ+J(τ),λJ(τ)+iδJ(τ)).

    Definition 2. [36] The score value SB, explained by using the BCFN

    J=(τ,γ+J(τ),γJ(τ))=(τ,λ+J(τ)+iδ+J(τ),λJ(τ)+iδJ(τ)),

    such that

    SB(J)=14(2+λ+J(τ)+δ+J(τ)+λJ(τ)+δJ(τ)),SB[0,1]. (2)

    Definition 3. [36] The accuracy value SB, explained by using the BCFN

    J=(τ,γ+J(τ),γJ(τ))=(τ,λ+J(τ)+iδ+J(τ),λJ(τ)+iδJ(τ)),

    such that

    HB(J)=λ+J(τ)+δ+J(τ)λJ(τ)δJ(τ)4,HB[0,1]. (3)

    Definition 4. [36] For any J=(τ,γ+J(τ),γJ(τ)) and K=(τ,γ+K(τ),γK(τ)), we computed

    1) If SB(J)<SB(K), then J<K.

    2) If SB(J)>SB(K), then J>K.

    3) If SB(J)=(K), then

    i. If HB(J)<HB(K), then J<K.

    ii. If HB(J)>HB(K), then J>K.

    iii. If HB(J)=HB(K), then J=K.

    Definition 5. [36] For any

    J=(τ,γ+J(τ),γJ(τ))=(τ,λ+J(τ)+iδ+J(τ),λJ(τ)+iδJ(τ))

    and

    K=(γ+K(τ),γK(τ))=(λ+K(τ)+iδ+K(τ),λK(τ)+iδK(τ)),

    with β>0, then

    JK=(τ,(λ+J(τ)+λ+K(τ)λ+J(τ)λ+K(τ)+i(δ+J(τ)+δ+K(τ)δ+J(τ)δ+K(τ)),(λJ(τ)λK(τ))+i((δJ(τ)δK(τ))))). (4)
    JK=(τ,(λ+J(τ)λ+K(τ)+iδ+J(τ)δ+K(τ),λJ(τ)+λK(τ)+λJ(τ)λK(τ)+i(δJ(τ)+δK(τ)+δJ(τ)δK(τ)))). (5)
    βJ=(τ,(1(1λ+J(τ))β+i(1(1δ+J(τ))β),|λJ(τ)|β+i(|δJ(τ)|β))). (6)
    Jβ=(τ,(λ+J(τ)β+iδ+J(τ)β,1+(1+λJ(τ))β+i(1+(1+δJ(τ))β))). (7)

    Theorem 1. [37] Under the availability of any BCFNs

    J=(τ,γ+J(τ),γJ(τ))=(τ,λ+J(τ)+iδ+J(τ),λJ(τ)+iδJ(τ))

    and

    K=(γ+K(τ),γK(τ))=(λ+K(τ)+iδ+K(τ),λK(τ)+iδK(τ)),

    with β,β1,β2>0, then

    1) JK=KJ.

    2) JK=KJ.

    3) β(JK)=βJβK.

    4) (JK)β=JβKβ.

    5) β1Jβ2J=(β1+β2)J.

    6) Jβ1Jβ2=Jβ1+β2.

    7) (Jβ1)β2=Jβ1β2.

    Proof. Trivial.

    Definition 6. [38] Suppose that 𝓀(=1,2,..,ň) be a group of positive real numbers, Then

    Bƥ,ɋ(𝒽1,𝒽2,𝒽3,,𝒽ň)=(1ň(ň1)ň,ĺ=1ĺ𝒽ƥ𝒽ɋĺ)1ƥ+ɋ (8)

    is known as BM, where ƥ,ɋ0.

    The major investigation of this analysis is to deliberate the idea of BCFBM, BCFNWBM, and BCFOWBM operators. Furthermore, some properties and results of the deliberated operators are diagnosed. The terms

    𝓀=(γ+𝓀,γ𝓀)=(λ+𝓀+iδ+𝓀,λ𝓀+iδ𝓀)(=1,2,3,,ň),

    stated the family of BCFNs.

    Here, we state the BCFBM operator as follows:

    Definition 7. The BCFBM operator BCFBƥ,ɋ with ƥ,ɋ0, simplified by:

    BCFBƥ,ɋ(𝒽1,𝒽2,𝒽3,,𝒽ň)=(1ň(ň1)(ň,ĺ=1ĺ(𝒽ƥ𝒽ɋĺ)))1ƥ+ɋ. (9)

    Theorem 2. For Eq (9) with ƥ,ɋ0, we diagnose

    BCFBƥ,ɋ(𝒽1,𝒽2,𝒽3,,𝒽ň)=((1ň,ĺ=1ĺ(1λ+ƥ𝓀λ+ɋ𝓀ĺ)1ň(ň1))1ƥ+ɋ+i(1ň,ĺ=1ĺ(1δ+ƥ𝓀δ+ɋ𝓀ĺ)1ň(ň1))1ƥ+ɋ,1+(1|ň,ĺ=1ĺ(1+(1+λ𝓀)ƥ(1+λ𝓀ĺ)ɋ)|1ň(ň1))1ƥ+ɋ+i(1+(1|ň,ĺ=1ĺ(1+(1+δ𝓀)ƥ(1+δ𝓀ĺ)ɋ)|1ň(ň1))1ƥ+ɋ)). (10)

    Proof. The proof of this theorem is given in Appendix A.

    Furthermore, the BCFBM has the following properties:

    1) Idempotency: If all 𝒽(=1,2,3,..,ň) are same, that is, 𝒽=𝒽, then

    BCFBƥ,ɋ(𝒽1,𝒽2,𝒽3,,𝒽ň)=BCFBƥ,ɋ(𝒽,𝒽,𝒽,,𝒽)=𝒽. (11)

    2) Monotonicity: Suppose 𝒽(=1,2,3,..,ň) and g(=1,2,3,..,ň) are two collections of BCFNs, if

    𝒽g(i.e., λ+𝒽λ+g, δ+𝒽δ+g, λ𝒽λg, and δ𝒽δg),

    then

    BCFBƥ,ɋ(𝒽1,𝒽2,𝒽3,,𝒽ň)BCFBƥ,ɋ(g1,g2,g3,,gň). (12)

    3) Boundedness: Suppose 𝒽(=1,2,3,..,ň) is a group of BCFNs, and suppose

    𝒽=(min(𝒽1,𝒽2,𝒽3,,𝒽ň))=(min(λ+𝒽)+imin(δ+𝒽),max(λ𝒽)+imax(δ𝒽)),
    𝒽+=(max(𝒽1,𝒽2,𝒽3,,𝒽ň))=(max(λ+𝒽)+imax(δ+𝒽),min(λ𝒽)+imin(δ𝒽)),

    then,

    𝒽BCFBƥ,ɋ(𝒽1,𝒽2,𝒽3,,𝒽ň)𝒽+. (13)

    4) Commutativity: Suppose 𝒽(=1,2,3,..,ň) is a collection of BCFNs, then

    BCFBƥ,ɋ(𝒽1,𝒽2,𝒽3,,𝒽ň)=BCFBƥ,ɋ(𝒽'1,𝒽'2,𝒽'3,,𝒽'ň) (14)

    where (𝒽'1,𝒽'2,𝒽'3,,𝒽'ň) is any permutation of (𝒽1,𝒽2,𝒽3,,𝒽ň).

    By using distinct values of the parameters ƥ and ɋ, we have the following particular cases of BCFBM.

    Case 1: If ɋ0, then by Eq (10) we obtain

    limɋ0BCFBƥ,ɋ(𝒽1,𝒽2,𝒽3,,𝒽ň)=limɋ0(1ň(ň1)(ň,ĺ=1ĺ(𝒽ƥ𝒽ɋĺ)))1ƥ+ɋ
    =limɋ0((1ň,ĺ=1ĺ(1λ+ƥ𝓀λ+ɋ𝓀ĺ)1ň(ň1))1ƥ+ɋ+i(1ň,ĺ=1ĺ(1δ+ƥ𝓀δ+ɋ𝓀ĺ)1ň(ň1))1ƥ+ɋ,1+(1|ň,ĺ=1ĺ(1+(1+λ𝓀)ƥ(1+λ𝓀ĺ)ɋ)|1ň(ň1))1ƥ+ɋ+i(1+(1|ň,ĺ=1ĺ(1+(1+δ𝓀)ƥ(1+δ𝓀ĺ)ɋ)|1ň(ň1))1ƥ+ɋ))
    =((1ň=1(1λ+ƥ𝓀)ň1ň(ň1))1ƥ+i(1ň=1(1δ+ƥ𝓀)ň1ň(ň1))1ƥ,1+(1|ň=1(1+(1+λ𝓀)ƥ)|ň1ň(ň1))1ƥ+i(1+(1|ň=1(1+(1+δ𝓀)ƥ)|ň1ň(ň1))1ƥ))
    =((1ň=1(1λ+ƥ𝓀)1ň)1ƥ+i(1ň=1(1δ+ƥ𝓀)1ň)1ƥ,1+(1|ň=1(1+(1+λ𝓀)ƥ)|1ň)1ƥ+i(1+(1|ň=1(1+(1+δ𝓀)ƥ)|1ň)1ƥ))
    =(1ň(ň=1(𝒽ƥ)))1ƥ=BCFBƥ,0(𝒽1,𝒽2,𝒽3,,𝒽ň). (15)

    We call it generalized bipolar complex fuzzy mean (GBCFM).

    Case 2. If ƥ=2 and ɋ0, then Eq (10) is converted as

    BCFB2,0(𝒽1,𝒽2,𝒽3,,𝒽ň)=(1ň(ň=1(𝒽2)))12
    =((1ň=1(1λ+2𝓀)1ň)12+i(1ň=1(1δ+2𝓀)1ň)12,1+(1|ň=1(1+(1+λ𝓀)2)|1ň)12+i(1+(1|ň=1(1+(1+δ𝓀)2)|1ň)12)). (16)

    We call it bipolar complex fuzzy square mean (BCFSM).

    Case 3. If ƥ=1 and ɋ0, then Eq (10) is converted as

    BCFB1,0(𝒽1,𝒽2,𝒽3,,𝒽ň)=((1ň=1(1λ+𝓀)1ň)+i(1ň=1(1δ+𝓀)1ň),1+(1|ň=1(1+(1+λ𝓀))|1ň)+i(1+(1|ň=1(1+(1+δ𝓀))|1ň)))
    =((1ň=1(1λ+𝓀)1ň)+i(1ň=1(1δ+𝓀)1ň),|ň=1λ𝓀|1ň+i(|ň=1δ𝓀|1ň))=1ň(ň=1(𝒽)) (17)

    we call it bipolar complex fuzzy average (BCFA).

    Case 4. If ƥ=ɋ=1, then Eq (10) is converted as

    BCFB1,1(𝒽1,𝒽2,𝒽3,,𝒽ň)=(1ň(ň1)(ň,ĺ=1ĺ(𝒽𝒽ĺ)))12
    =((1ň,ĺ=1ĺ(1λ+𝓀λ+𝓀ĺ)1ň(ň1))12+i(1ň,ĺ=1ĺ(1δ+𝓀δ+𝓀ĺ)1ň(ň1))12,1+(1|ň,ĺ=1ĺ(1+(1+λ𝓀)(1+λ𝓀ĺ))|1ň(ň1))12+i(1+(1|ň,ĺ=1ĺ(1+(1+δ𝓀)(1+δ𝓀ĺ))|1ň(ň1))12)) (18)

    we call it bipolar complex fuzzy interrelated square mean (BCFISM).

    In MADM, the associated attributes generally have distinct significance and are necessary to be given distinct weights. Thus, AOs should consider the weights of attributes.

    Definition 8. The BCFNWBM operator BCFNWBƥ,ɋ with ƥ,ɋ0, simplified by:

    BCFNWBƥ,ɋ(𝒽1,𝒽2,𝒽3,,𝒽ň)=(ň,ĺ=1ĺĺ1(𝒽ƥ𝒽ɋĺ))1ƥ+ɋ (19)

    where, =(1,2,3,,ň) is the weight vector (WV) of 𝓀(=1,2,3,,ň), where denotes the significance degree of 𝓀 such that [0,1] and ň=1=1, if

    Theorem 3. For Eq (19) with ƥ,ɋ0, we diagnose

    BCFNWBƥ,ɋ(𝒽1,𝒽2,𝒽3,,𝒽ň)=((1ň,ĺ=1ĺ(1λ+ƥ𝓀λ+ɋ𝓀ĺ)ĺ1)1ƥ+ɋ+i(1ň,ĺ=1ĺ(1δ+ƥ𝓀δ+ɋ𝓀ĺ)ĺ1)1ƥ+ɋ,1+(1ň,ĺ=1ĺ|1+(1+λ𝓀)ƥ(1+λ𝓀ĺ)ɋ|ĺ1)1ƥ+ɋ+i(1+(1ň,ĺ=1ĺ|1+(1+δ𝓀)ƥ(1+δ𝓀ĺ)ɋ|ĺ1)1ƥ+ɋ)). (20)

    Proof. The proof of this theorem is given in Appendix B.

    Additionally, the BCFNWBM has the following properties

    1) Idempotency: If all 𝒽(=1,2,3,..,ň) are same, that is, 𝒽=𝒽, then

    BCFNWBƥ,ɋ(𝒽1,𝒽2,𝒽3,,𝒽ň)=BCFNWBƥ,ɋ(𝒽,𝒽,𝒽,,𝒽)=𝒽. (21)

    2) Monotonicity: Suppose 𝒽(=1,2,3,..,ň) and g(=1,2,3,..,ň) are two collections of BCFNs, if 𝒽g (i.e., λ+𝒽λ+g, δ+𝒽δ+g, λ𝒽λg, and δ𝒽δg), then

    BCFNWBƥ,ɋ(𝒽1,𝒽2,𝒽3,,𝒽ň)BCFNWBƥ,ɋ(g1,g2,g3,,gň). (22)

    3) Boundedness: Suppose 𝒽(=1,2,3,..,ň) is a group of BCFNs, and suppose

    𝒽=(min(𝒽1,𝒽2,𝒽3,,𝒽ň))=(min(λ+𝒽)+imin(δ+𝒽),max(λ𝒽)+imax(δ𝒽)),
    𝒽+=(max(𝒽1,𝒽2,𝒽3,,𝒽ň))=(max(λ+𝒽)+imax(δ+𝒽),min(λ𝒽)+imin(δ𝒽)),

    then,

    𝒽BCFNWBƥ,ɋ(𝒽1,𝒽2,𝒽3,,𝒽ň)𝒽+. (23)

    4) Commutativity: Suppose 𝒽(=1,2,3,..,ň) is a collection of BCFNs, then

    BCFNWBƥ,ɋ(𝒽1,𝒽2,𝒽3,,𝒽ň)=BCFNWBƥ,ɋ(𝒽'1,𝒽'2,𝒽'3,,𝒽'ň). (24)

    In this subsection, we present the BCFOWBM operator.

    Definition 9. The BCFOWBM operator BCFOWBƥ,ɋ with ƥ,ɋ0, simplified by:

    BCFOWBƥ,ɋ(𝒽1,𝒽2,𝒽3,,𝒽ň)=(ň,ĺ=1ĺĺ1(𝒽ƥϵ()𝒽ɋϵ(ĺ)))1ƥ+ɋ (25)

    where, =(1,2,3,,ň) is the WV such that [0,1] and ň=1=1, and ϵ(1),ϵ(2),,ϵ(ň) are the permutation of (=1,2,3,..,ň) such that 𝒽ϵ(1)𝒽ϵ()=1,2,3,..,ň.

    Theorem 4. For Eq (29) with ƥ,ɋ0, we diagnose

    BCFOWBƥ,ɋ(𝒽1,𝒽2,𝒽3,,𝒽ň)=((1ň,ĺ=1ĺ(1λ+ƥ𝓀ϵ()λ+ɋ𝓀ϵ())ĺ1)1ƥ+ɋ+i(1ň,ĺ=1ĺ(1δ+ƥ𝓀ϵ()δ+ɋ𝓀ϵ())ĺ1)1ƥ+ɋ,1+(1ň,ĺ=1ĺ|1+(1+λ𝓀ϵ())ƥ(1+λ𝓀ϵ())ɋ|ĺ1)1ƥ+ɋ+i(1+(1ň,ĺ=1ĺ|1+(1+δ𝓀ϵ())ƥ(1+δ𝓀ϵ())ɋ|ĺ1)1ƥ+ɋ)) (26)

    where ϵ(1),ϵ(2),,ϵ(ň) are the permutation of (=1,2,3,..,ň) such that 𝒽ϵ(1)𝒽ϵ()=2,3,..,ň.

    Additionally, the BCFOWBM has the following properties.

    1) Idempotency: If all 𝒽(=1,2,3,..,ň) are same, that is, 𝒽=𝒽, then

    BCFOWBƥ,ɋ(𝒽1,𝒽2,𝒽3,,𝒽ň)=BCFNWBƥ,ɋ(𝒽,𝒽,𝒽,,𝒽)=𝒽. (27)

    2) Monotonicity: Suppose 𝒽(=1,2,3,..,ň) and g(=1,2,3,..,ň) are two collections of BCFNs, if 𝒽g (i.e., λ+𝒽λ+g, δ+𝒽δ+g, λ𝒽λg, and δ𝒽δg), then

    BCFOWBƥ,ɋ(𝒽1,𝒽2,𝒽3,,𝒽ň)BCFOWBƥ,ɋ(g1,g2,g3,,gň). (28)

    3) Boundedness: Suppose 𝒽(=1,2,3,..,ň) is a group of BCFNs, and suppose

    𝒽=(min(𝒽1,𝒽2,𝒽3,,𝒽ň))=(min(λ+𝒽)+imin(δ+𝒽),max(λ𝒽)+imax(δ𝒽)),
    𝒽+=(max(𝒽1,𝒽2,𝒽3,,𝒽ň))=(max(λ+𝒽)+imax(δ+𝒽),min(λ𝒽)+imin(δ𝒽)),

    then,

    𝒽BCFOWBƥ,ɋ(𝒽1,𝒽2,𝒽3,,𝒽ň)𝒽+. (29)

    The decision-making technique is used especially for evaluating the beneficial decision from the family of alternatives. The main theme of this analysis is to compute the required decision from the group of opinions, we computed a MADM problem based on the initiated operators for BCF information to evaluate the difficult and unachievable problems.

    Suppose V={v1,v2,v3,,vň} is a set of ň alternatives, O={o1,o2,o3,,om} is a set of m attributes. The performance of the alternative v concerning the criteria oĺ is measured by the BCFN

    𝒽ĺ=(γ+𝓀ĺ,γ𝓀ĺ)=(λ+𝓀ĺ+iδ+𝓀ĺ,λ𝓀ĺ+iδ𝓀ĺ).

    Suppose that A=(aĺ)m×ň=(γ+𝓀ĺ,γ𝓀ĺ)m×ň is a BCF decision matrix, where γ+𝓀ĺ is the positive truth grade for which the alternative v fulfills the attribute oĺ, provided by the decision analyst, and γ𝓀ĺ is the negative truth grade for which the alternative v doesn't fulfill the attribute oĺ, provided by the decision analyst. We initiate the algorithm to solve the MCDM problem in the circumstances of BCFSs as follows.

    Step 1. All

    aĺ=(γ+𝓀ĺ,γ𝓀ĺ)=(λ+𝓀ĺ+iδ+𝓀ĺ,λ𝓀ĺ+iδ𝓀ĺ)(=1,2,..,ň)(ĺ=1,2,..,m)

    are presented in a BCF decision matrix A=(aĺ)m×ň=(γ+𝓀ĺ,γ𝓀ĺ)m×ň, 𝒽ĺ signifies a BCFN, which is on the th row and ĺth column in the matrix.

    Step 2. Diagnose the best values 𝒽ĺ(ĺ=1,2,3,,m) by aggregating the suggested information based on BCFNWBM for ƥ=ɋ=1, such that

    𝒽ĺ=(γ+𝓀ĺ,γ𝓀ĺ)=BCFNWBMƥ,ɋ(𝒽1,𝒽2,𝒽3,,𝒽m)

    Step 3. Diagnose the score values of the evaluated preferences.

    Step 4. Diagnose ranking values.

    The Supplier Sustainability Toolkit is expected exclusively to give general direction for matters of interest and does not comprise proficient counsel. You should not follow up on the data contained in this toolkit without acquiring explicit proficient exhortation. JJ (some company) will utilize sensible endeavors to remember up-to-date and exact data for this toolkit, however, makes no portrayal, guarantees, or affirmation concerning the precision, money, or fulfillment of the data.

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    Supportability incorporates a scope of natural, social, and monetary themes. These themes additionally alluded to as "Individuals, planet, profit" or "the triple primary concern, " can be applied to organizations in all areas, from examination to assembling to administration. Corporate Social Responsibility (CSR), Environmental, Social and Governance (ESG) measures, Corporate Sustainability, Practical Business, and Corporate Citizenship are different terms generally utilized broadly to portray comparative projects, drives, and activities. We urge providers to utilize the term that reverberates best with its association. At JJ, we use the terms Citizenship and sustainability to characterize our desire to further develop wellbeing in all that we do. To examine the above problem, for this, we considered Sustainability & Citizenship at Johnson & Johnson in the form of alternatives:

    v1: Defining Sustainability at J & J.

    v2: Sustainability Reporting at J & J.

    v3: Delivering Health for Humanity.

    v4: Engaging Our Suppliers.

    To deeply evaluate the above information, we use some attributes in the form: Cost savings through efficiency, improving risk management, driving innovation, and growing customer loyalty and brand position. This section includes a real life example to exhibit the efficiency and advantages of the initiated methods.

    Step 1. As all attributes are of the same sort, thus the data specified in Table 2 don't need to normalize.

    Table 2.  Decision theory in the form of bipolar complex fuzzy numbers.
    o1 o2 o3 o4
    v1 (0.78+ι0.9,0.6ι0.5,) (0.36+ι0.65,0.5ι0.8) (0.45+ι0.7,0.34ι0.8) (0.9+ι0.5,0.2ι0.4)
    v2 (0.4+ι0.36,0.39ι0.4) (0.76+ι0.19,0.28ι0.5) (0.6+ι0.38,0.5ι0.87) (0.15+ι0.25,0.43ι0.34,)
    v3 (0.5+ι0.46,0.49ι0.5) (0.67+ι0.29,0.38ι0.6) (0.5+ι0.48,0.4ι0.78) (0.25+ι0.35,0.44ι0.43)
    v4 (0.47+ι0.2,0.7ι0.8) (0.19+ι0.5,0.7ι0.8) (0.2+ι0.4,0.3ι0.4) (+ι0.9,0.8ι0.1)

     | Show Table
    DownLoad: CSV

    Step 2. Aggregate all BCFNs presented in Table 2 by employing the BCFNWBM operator to get the overall BCFNs 𝒽ĺ(ĺ=1,2,3,,m) of the alternatives v(=1,2,3,4). The aggregating values are displayed in Table 3.

    Table 3.  The aggregating values of the alternatives.
    BCFNWBM
    v1 (0.5449+ι0.7078,0.4364ι0.6953)
    v2 (0.5613+ι0.2862,0.3909ι0.5777)
    v3 (0.53+ι0.3882,0.4174ι0.402)
    v4 (0.2586+ι0.4539,0.606ι0.6066)

     | Show Table
    DownLoad: CSV

    Step 3. The score function of the alternatives, as per the aggregated values displayed in Table 3, is established in Table 4.

    Table 4.  The score values of the alternatives.
    Score value
    v1 0.5303
    v2 0.4697
    v3 0.5247

     | Show Table
    DownLoad: CSV

    Step 4. The ranking of the alternatives is v1>v2>v3>v4 as per the score values given in Table 4 and the v1 is the finest alternative.

    Step 1. As all attributes are of the same sort, thus the data specified in Table 2 don't need to normalize.

    Step 2. Aggregate all BCFNs presented in Table 2 by employing the BCFOWBM operator to get the overall BCFNs 𝒽ĺ(ĺ=1,2,3,,m) of the alternatives v(=1,2,3,4). The aggregating values are displayed in Table 5.

    Table 5.  Representation of the aggregated values.
    BCFNWBM
    v1 (0.6697+ι0.7233,0.4235ι0.6113)
    v2 (0.4194+ι0.2885,0.3899ι0.4541)
    v3 (0.53+ι0.3882,0.4174ι0.402)
    v4 (0.244+ι0.5161,0.6057ι0.5003)

     | Show Table
    DownLoad: CSV

    Step 3. The score function of the alternatives, as per the aggregated values displayed in Table 5, is established in Table 6.

    Table 6.  The score values of the alternatives.
    Score value
    v1 0.5895
    v2 0.466
    v3 0.5247
    v4 0.4135

     | Show Table
    DownLoad: CSV

    Step 4. The ranking of the alternatives is v1>v3>v2>v4 as per the score values given in Table 6 and the v1 is the finest alternative.

    To verify the worth of the diagnosed operators, we discussed different aspects of the proposed theory by considering their different values. If we use the value of the imaginary part as zero, then what happened for this, we use the information in Table 7.

    Table 7.  Represented bipolar fuzzy information.
    o1 o2 o3 o4
    v1 (0.78+ι0.0,0.6ι0.0,) (0.36+ι0.0,0.5ι0.0) (0.45+ι0.0,0.34ι0.0) (0.9+ι0.0,0.2ι0.0)
    v2 (0.4+ι0.0,0.39ι0.0) (0.76+ι0.0,0.28ι0.0) (0.6+ι0.0,0.5ι0.0) (0.15+ι0.0,0.43ι0.0,)
    v3 (0.5+ι0.0,0.49ι0.0) (0.67+ι0.0,0.38ι0.0) (0.5+ι0.0,0.4ι0.0) (0.25+ι0.0,0.44ι0.0)
    v4 (0.47+ι0.0,0.7ι0.0) (0.19+ι0.0,0.7ι0.0) (0.2+ι0.0,0.3ι0.0) (0.29+ι0.0,0.8ι0.0)

     | Show Table
    DownLoad: CSV

    Aggregate all BCFNs presented in Table 2 by employing the BCFNWBM operator and BCFOWBM operator to get the overall BCFNs 𝒽ĺ(ĺ=1,2,3,,m) of the alternatives v(=1,2,3,4). The aggregating values are displayed in Table 8.

    Table 8.  The aggregating values of the alternatives.
    BCFNWBM BCFOWBM
    v1 (0.5449+ι0.0,0.4364ι0.0) (0.6697+ι0.0,0.4235ι0.0)
    v2 (0.5613+ι0.0,0.3909ι0.0) (0.4194+ι0.0,0.3899ι0.0)
    v3 (0.53+ι0.0,0.4174ι0.0) (0.53+ι0.0,0.4174ι0.0)
    v4 (0.2586+ι0.0,0.606ι0.0) (0.244+ι0.0,0.6057ι0.0)

     | Show Table
    DownLoad: CSV

    The score function of the alternatives, as per the aggregated values displayed in Table 8, is established in Table 9.

    Table 9.  The score values of the alternatives.
    BCFNWBM BCFOWBM
    v1 0.5271 0.6515
    v2 0.5426 0.5074
    v3 0.5282 0.5282
    v4 0.4132 0.4096

     | Show Table
    DownLoad: CSV

    The ranking of the alternatives is v2>v3>v1>v4 and v1>v3>v2>v4 as per the score values given in Table 9 and the v2 and v1 is the finest alternative.

    Here, we compare this analysis with some prevailing algorithms and DM techniques such as [20,36,37,42,43,44,45]. The outcome of this comparison is portrayed in Table 10 and Figure 1.

    Table 10.  Interpretation of the comparative analysis.
    Operators SB(v1) SB(v2) SB(v3) SB(v4)
    Akram and Arshad [20] Failed Failed Failed Failed
    Akram and Al-Kenani [43] Failed Failed Failed Failed
    Jana et al. [44] Failed Failed Failed Failed
    Wei et al. [45] Failed Failed Failed Failed
    BCFDWA [36] 0.671 0.508 0.521 0.552
    BCFDWG [36] 0.2177 0.4041 0.3892 0.3663
    BCFHWA [37] 0.6329 0.4876 0.4837 0.4812
    BCFHWG [37] 0.3671 0.5124 0.5163 0.5188
    BCFWAA [42] 0.555 0.499 0.494 0.424
    BCFOWAA [42] 0.6329 0.4876 0.4837 0.4812
    BCFWGA [42] 0.499 0.422 0.484 0.337
    BCFOWGA [42] 0.563 0.439 0.484 0.377
    BCFNWBM 0.5303 0.5697 0.5247 0.375
    BCFOWBM 0.5895 0.466 0.5247 0.4135

     | Show Table
    DownLoad: CSV
    Figure 1.  The graphical display of the comparison.

    From Table 10, we noticed that the TOPSIS and ELECTRIC-I methods initiated by Akram and Arshad [20] failed to provide any sort of result because this method can't deal with the imaginary part of the information. Likewise, the method ELECTRIC-II diagnosed by Akram and Al-Kenani [43] also failed to provide the result as it can't overcome the imaginary part of both positive and negative SGs. Furthermore, Jana et al. [44] diagnosed Dombi AOs but these operators are not able to provide a result in any sort of DM where two dimensions are involved. The Hamacher AOs for BFS [45] failed as these operators are also not able to provide a result in any sort of DM where two dimensions are involved. The operators discussed in [36,37,42] and proposed operators for weighted averaging are given the same ranking results in the form of, but the information is given in Ref. [36] and the proposed operator for weighted geometric gives their results in the form of and the weighted geometric operator in [37] give their result in the form of. The operators of [42] give that is the finest one.

    Below we will display that the diagnosed operators and DM technique are more generalized and modified than the prevailing work. For this, we take an example from Akram and Arshad [20] and solve it by using the DM technique given in this analysis. The result of this example is portrayed in Table 11.

    Table 11.  The outcomes of the diagnosed DM and TOPSIS technique are presented in [20].
    Methods SB(v1) SB(v2) SB(v3) SB(v4)
    Akram and Arshad [20] 0.2639 0.7316 0.7292 0.4045
    BCFNWBM 0.4516 0.5468 0.5861 0.4836
    BCFOWBM 0.5007 0.5458 0.5914 0.5314

     | Show Table
    DownLoad: CSV

    In Table 11, the outcome of the example is taken from Akram and Arshad [20]. Akram and Arshad imitated the TOPSIS technique and found outcome are shown in Table 11, while we employed the proposed DM technique on the same example and the obtained results are also shown in Table 11. From the above discussion, it is evident that the diagnosed approach is better and is more generalized than the prevailing ones, as the prevailing ones can't deal with the BCF information, but the adopted approach can handle the fuzzy information, BF information, and complex fuzzy information.

    We discussed the influence of parameters by using their different values. Using the information in Table 2 and the proposed AOs, the stability of the parameters is discussed in the form of Table 12 and Figure 2.

    Table 12.  represented the stability of parameters for different values of ɋ.
    ƥ=1 Operator SB(v1) SB(v2) SB(v3) SB(v4) Ranking value
    ɋ=1 BCFBNWM 0.5303 0.4697 0.5247 0.375 v1>v3>v2>v4
    BCFBOWM 0.5895 0.466 0.5247 0.4135 v1>v3>v2>v4
    ɋ=3 BCFBNWM 0.5681 0.4954 0.4843 0.4369 v1>v2>v3>v4
    BCFBOWM 0.62 0.4924 0.4843 0.4694 v1>v2>v3>v4
    ɋ=5 BCFBNWM 0.6046 0.5172 0.498 0.4988 v1>v2>v4>v3
    BCFBOWM 0.6497 0.5149 0.498 0.5257 v1>v4>v2>v3
    ɋ=7 BCFBNWM 0.6325 0.5332 0.5093 0.5443 v1>v4>v2>v3
    BCFBOWM 0.6721 0.5315 0.5093 0.5667 v1>v4>v2>v3
    ɋ=10 BCFBNWM 0.6628 0.5506 0.5222 0.5894 v1>v4>v2>v3
    BCFBOWM 0.696 0.5493 0.5222 0.6073 v1>v4>v2>v3

     | Show Table
    DownLoad: CSV
    Figure 2.  The graphical representation of the stability of parameters for different values of ɋ.

    Hence, for every value of the parameter, we get the same ranking result as v1. Furthermore, using the information in Table 2 and the proposed AOs, the stability of the parameters is discussed in the form of Table 13 and Figure 3.

    Table 13.  Represented the stability of parameters for different values of ƥ.
    ɋ=1 Operator SB(v1) SB(v2) SB(v3) SB(v4) Ranking value
    ƥ=1 BCFBNWM 0.5303 0.4697 0.5247 0.375 v1>v3>v2>v4
    BCFBOWM 0.5895 0.466 0.5247 0.4135 v1>v3>v2>v4
    ƥ=3 BCFBNWM 0.557 0.4974 0.4847 0.4261 v1>v2>v3>v4
    BCFBOWM 0.6201 0.4899 0.4847 0.4647 v1>v2>v3>v4
    ƥ=5 BCFBNWM 0.5915 0.5195 0.4985 0.4853 v1>v2>v4>v3
    BCFBOWM 0.6489 0.5115 0.4985 0.5187 v1>v4>v2>v3
    ƥ=7 BCFBNWM 0.6195 0.5356 0.5099 0.5312 v1>v4>v2>v3
    BCFBOWM 0.6706 0.5279 0.5099 0.5596 v1>v4>v2>v3
    ƥ=10 BCFBNWM 0.651 0.5528 0.5225 0.5782 v1>v4>v2>v3
    BCFBOWM 0.6939 0.5457 0.5229 0.6011 v1>v4>v2>v3

     | Show Table
    DownLoad: CSV
    Figure 3.  The graphical representation of the stability of parameters for different values of ɋ.

    Similarly, for every value of the parameter, we again get the same ranking result as v1. Therefore, the presented operators are not yet diagnosed by any researcher and these are more generalized than the information in [36,37,42]. Hence, the diagnosed operator is more beneficial and dominant to handle difficult and unreliable information.

    The Decision-making technique is the procedure of expressing real life problems and events in a mathematical and statistical format or language. Many kinds of techniques and methods are present in various theories such as FST, BFST, CFST, etc. However, in regard to evaluating the difficult and unreliable information, for example, the information in two dimensions with positive and negative grades or opinion of human beings, then the decision-maker has no such kind of tool or DM technique that can handle such sort of information. The only concept to handle such sort of information is BCFST. The BCFST contains both positive and negative opinions of human beings with both real and unreal parts. The major investigation of this analysis is evaluated below:

    1) We employed the BM operators in the setting of BCFST with the described idea of BCFBM, BCFNWBM, and BCFOWBM operators.

    2) Furthermore, some properties and results of the deliberated operators are diagnosed.

    3) We computed the required decision from the group of opinions, we computed a MADM problem based on the initiated operators for BCF information.

    4) For comparing the presented work with some prevailing operators, we illustrated some examples and tried to evaluate the graphical interpretation of the diagnosed work to prove the authenticity of the proposed work.

    In future, we try to review the theory of similarity measures for Fermatean fuzzy sets [46], new score values based on Fermatean fuzzy sets [47], TOPSIS technique based on Fermatean fuzzy sets [48], complex spherical fuzzy sets [49], picture fuzzy aggregation operators [50], Aczel-Alsina operators for T-spherical fuzzy sets [51], complex Fermatean fuzzy N-soft set [52] and try to utilize it in the environment of bipolar complex fuzzy sets as in the current analysis these areas are not covered. These areas have a significant role in the generalization of FST, for example, Fermatean FS theory (FFST) handles the information that can't be handled by intuitionistic FST.

    Appendix A.

    Proof. From Definition 5, we have

    𝒽ƥ=((λ+𝒽)ƥ+i(δ+𝒽)ƥ,1+(1+λ𝒽)ƥ+i(1+(1+δ𝒽)ƥ)),
    𝒽ɋ=((λ+𝒽)ɋ+i(δ+𝒽)ɋ,1+(1+λ𝒽)ɋ+i(1+(1+δ𝒽)ɋ)),

    Then we have

    𝒽ƥ𝒽ɋĺ=((λ+𝒽)ƥ(λ+𝒽ĺ)ɋ+i(δ+𝒽)ƥ(δ+𝒽ĺ)ɋ,1+(1+λ𝒽)ƥ(1+λ𝒽ĺ)q+i(1+(1+δ𝒽)ƥ(1+δ𝒽ĺ)q)). (30)

    Now by mathematical induction we prove the following:

    (ň,ĺ=1ĺ(𝒽ƥ𝒽ɋĺ))=(1ň,ĺ=1ĺ(1λ+ƥ𝓀λ+ɋ𝓀ĺ)+i(1ň,ĺ=1ĺ(1δ+ƥ𝓀δ+ɋ𝓀ĺ)),ň,ĺ=1ĺ(1+(1+λ𝓀)ƥ(1+λ𝓀ĺ)ɋ)+i(ň,ĺ=1ĺ(1+(1+δ𝓀)ƥ(1+δ𝓀ĺ)ɋ))). (31)

    For ň=2, we obtain

    2,ĺ=1ĺ(𝒽ƥ𝒽ɋĺ)=(𝒽ƥ1𝒽ɋ2)(𝒽ƥ2𝒽ɋ1)
    =1(1λ+ƥ𝓀1λ+ɋ𝓀2)(1λ+ƥ𝓀2λ+ɋ𝓀1)+i(1(1δ+ƥ𝓀1δ+ɋ𝓀2)(1δ+ƥ𝓀2δ+ɋ𝓀1)),1+(1+λ𝓀1)ƥ(1+λ𝓀2)ɋ
    ×(1+(1+λ𝓀2)ƥ(1+λ𝓀1)ɋ)+i((1+(1+δ𝓀1)ƥ(1+δ𝓀2)ɋ×(1+(1+δ𝓀2)ƥ(1+δ𝓀1)ɋ))). (32)

    If Eq (32) true for ň=T,

    T,ĺ=1ĺ(𝒽ƥ𝒽ɋĺ)=(1T,ĺ=1ĺ(1λ+ƥ𝓀λ+ɋ𝓀ĺ)+i(1T,ĺ=1ĺ(1δ+ƥ𝓀δ+ɋ𝓀ĺ)),T,ĺ=1ĺ(1+(1+λ𝓀)ƥ(1+λ𝓀ĺ)ɋ)+i(T,ĺ=1ĺ(1+(1+δ𝓀)ƥ(1+δ𝓀ĺ)ɋ))),

    then, ň=T+1, by Definition 5, we obtain

    T+1,ĺ=1ĺ(𝒽ƥ𝒽ɋĺ)=(T,ĺ=1ĺ(𝒽ƥ𝒽ɋĺ))(T=1(𝒽ƥ𝒽ɋT+1))(Tĺ=1(𝒽ƥT+1𝒽ɋĺ)).

    Next, we show that

    T=1(𝒽ƥ𝒽ɋT+1)
    =(1T=1(1λ+ƥ𝓀λ+ɋ𝓀T+1)+i(1T=1(1δ+ƥ𝓀δ+ɋ𝓀T+1)),T=1(1+(1+λ𝓀)ƥ(1+λ𝓀T+1)ɋ)+i(T=1(1+(1+δ𝓀)ƥ(1+δ𝓀T+1)ɋ))) (33)

    by utilizing mathematical induction on T as below.

    For T=2, then by Eq (31), we have

    𝒽ƥ𝒽ɋ2+1
    =((λ+𝒽)ƥ(λ+𝒽2+1)ɋ+i(δ+𝒽)ƥ(δ+𝒽2+1)ɋ,1+((1+λ𝒽)ƥ)((1+λ𝒽2+1)q)+i(1+((1+δ𝒽)ƥ)((1+δ2+1)q))),=1,2.

    And consequently,

    2=1(𝒽ƥ𝒽ɋ2+1)=(𝒽ƥ1𝒽ɋ2+1)(𝒽ƥ2𝒽ɋ2+1)
    =(12=1(1λ+ƥ𝓀λ+ɋ𝓀3)+i(12=1(1δ+ƥ𝓀δ+ɋ𝓀3)),2=1(1+(1+λ𝓀)ƥ(1+λ𝓀3)ɋ)+i(2=1(1+(1+δ𝓀)ƥ(1+δ𝓀3)ɋ))).

    If Eq (33) holds for T=T0, that is,

    T0=1(𝒽ƥ𝒽ɋT0+1)
    =(1T0=1(1λ+ƥ𝓀λ+ɋ𝓀T0+1)+i(1T0=1(1δ+ƥ𝓀δ+ɋ𝓀T0+1)),T0=1(1+(1+λ𝓀)ƥ(1+λ𝓀T0+1)ɋ)+i(T0=1(1+(1+δ𝓀)ƥ(1+δ𝓀T0+1)ɋ)))

    then, when T=T0+1, by Eq (31), and Definition 5, we have

    T0+1=1(𝒽ƥ𝒽ɋT0+2)
    =T0=1(𝒽ƥ𝒽ɋT0+2)(𝒽ƥT0+1𝒽ɋT0+2)
    =(1T0+1=1(1λ+ƥ𝓀λ+ɋ𝓀T0+2)+i(1T0+1=1(1δ+ƥ𝓀δ+ɋ𝓀T0+2)),T0+1=1(1+(1+λ𝓀)ƥ(1+λ𝓀T0+2)ɋ)+i(T0+1=1(1+(1+δ𝓀)ƥ(1+δ𝓀T0+2)ɋ))).

    This shows that Eq (33) true for T=T0+1. Thus, Eq (33) holds T. In the same manner, one can show that

    Tĺ=1(𝒽ƥT+1𝒽ɋĺ)=(1T=1(1λ+ƥ𝓀T+1λ+ɋ𝓀ĺ)+i(1T=1(1δ+ƥ𝓀T+1δ+ɋ𝓀ĺ)),T=1(1+(1+λ𝓀T+1)ƥ(1+λ𝓀ĺ)ɋ)+i(T=1(1+(1+δ𝓀T+1)ƥ(1+δ𝓀ĺ)ɋ))).

    Thus,

    T+1,ĺ=1ĺ(𝒽ƥ𝒽ɋĺ)
    =(1T,ĺ=1ĺ(1λ+ƥ𝓀λ+ɋ𝓀ĺ)+i(1T,ĺ=1ĺ(1δ+ƥ𝓀δ+ɋ𝓀ĺ)),T,ĺ=1ĺ(1+(1+λ𝓀)ƥ(1+λ𝓀ĺ)ɋ)+i(T,ĺ=1ĺ(1+(1+δ𝓀)ƥ(1+δ𝓀ĺ)ɋ)))
    (1T=1(1λ+ƥ𝓀λ+ɋ𝓀T+1)+i(1T=1(1δ+ƥ𝓀δ+ɋ𝓀T+1)),T=1(1+(1+λ𝓀)ƥ(1+λ𝓀T+1)ɋ)+i(T=1(1+(1+δ𝓀)ƥ(1+δ𝓀T+1)ɋ)))
    (1T=1(1λ+ƥ𝓀T+1λ+ɋ𝓀ĺ)+i(1T=1(1δ+ƥ𝓀T+1δ+ɋ𝓀ĺ)),T=1(1+(1+λ𝓀T+1)ƥ(1+λ𝓀ĺ)ɋ)+i(T=1(1+(1+δ𝓀T+1)ƥ(1+δ𝓀ĺ)ɋ)))
    =(1T+1,ĺ=1ĺ(1λ+ƥ𝓀λ+ɋ𝓀ĺ)+i(1T+1,ĺ=1ĺ(1δ+ƥ𝓀δ+ɋ𝓀ĺ)),T+1,ĺ=1ĺ(1+(1+λ𝓀)ƥ(1+λ𝓀ĺ)ɋ)+i(T+1,ĺ=1ĺ(1+(1+δ𝓀)ƥ(1+δ𝓀ĺ)ɋ))).

    This implies that Eq (12) true for ň=T+1. Consequently, Eq (12) true ň.

    Next, by Eq (32), and Definition 5, we have

    1ň(ň1)(ň,ĺ=1ĺ(𝒽ƥ𝒽ɋĺ))=(1ň,ĺ=1ĺ(1λ+ƥ𝓀λ+ɋ𝓀ĺ)1ň(ň1)+i(1ň,ĺ=1ĺ(1δ+ƥ𝓀δ+ɋ𝓀ĺ)1ň(ň1)),|ň,ĺ=1ĺ(1+(1+λ𝓀)ƥ(1+λ𝓀ĺ)ɋ)|1ň(ň1)+i(|ň,ĺ=1ĺ(1+(1+δ𝓀)ƥ(1+δ𝓀ĺ)ɋ)|1ň(ň1))) (34)

    and then, by Eq (34), and Definition 5,

    BCFBƥ,ɋ(𝒽1,𝒽2,𝒽3,,𝒽ň)=(1ň(ň1)(ň,ĺ=1ĺ(𝒽ƥ𝒽ɋĺ)))1ƥ+ɋ
    =((1ň,ĺ=1ĺ(1λ+ƥ𝓀λ+ɋ𝓀ĺ)1ň(ň1))1ƥ+ɋ+i(1ň,ĺ=1ĺ(1δ+ƥ𝓀δ+ɋ𝓀ĺ)1ň(ň1))1ƥ+ɋ,1+(1|ň,ĺ=1ĺ(1+(1+λ𝓀)ƥ(1+λ𝓀ĺ)ɋ)|1ň(ň1))1ƥ+ɋ+i(1+(1|ň,ĺ=1ĺ(1+(1+δ𝓀)ƥ(1+δ𝓀ĺ)ɋ)|1ň(ň1))1ƥ+ɋ)).

    Completed proof of the results.

    Appendix B.

    Proof. From Definition 5, we have

    𝒽ƥ=((λ+𝒽)ƥ+i(δ+𝒽)ƥ,1+(1+λ𝒽)ƥ+i(1+(1+δ𝒽)ƥ)),
    𝒽ɋ=((λ+𝒽)ɋ+i(δ+𝒽)ɋ,1+(1+λ𝒽)ɋ+i(1+(1+δ𝒽)ɋ)),

    then we have

    𝒽ƥ𝒽ɋĺ=((λ+𝒽)ƥ(λ+𝒽ĺ)ɋ+i(δ+𝒽)ƥ(δ+𝒽ĺ)ɋ,1+(1+λ𝒽)ƥ(1+λ𝒽ĺ)q+i(1+(1+δ𝒽)ƥ(1+δ𝒽ĺ)q)).
    ĺ1(𝒽ƥ𝒽ɋĺ)=(1(1(λ+𝒽)ƥ(λ+𝒽ĺ)ɋ)ĺ1+i(1(1(δ+𝒽)ƥ(δ+𝒽ĺ)ɋ)ĺ1),(|1+(1+λ𝒽)ƥ(1+λ𝒽ĺ)q|ĺ1)+i((|1+(1+δ𝒽)ƥ(1+δ𝒽ĺ)q|ĺ1))).
    ň,ĺ=1ĺĺ1(𝒽ƥ𝒽ɋĺ)=(1ň,ĺ=1ĺ(1λ+ƥ𝓀λ+ɋ𝓀ĺ)ĺ1+i(1ň,ĺ=1ĺ(1δ+ƥ𝓀δ+ɋ𝓀ĺ)ĺ1),ň,ĺ=1ĺ(|1+(1+λ𝒽)ƥ(1+λ𝒽ĺ)q|ĺ1)+i(ň,ĺ=1ĺ(|1+(1+δ𝒽)ƥ(1+δ𝒽ĺ)q|ĺ1))).
    (ň,ĺ=1ĺĺ1(𝒽ƥ𝒽ɋĺ))1ƥ+ɋ
    =((1ň,ĺ=1ĺ(1λ+ƥ𝓀λ+ɋ𝓀ĺ)ĺ1)1ƥ+ɋ+i(1ň,ĺ=1ĺ(1δ+ƥ𝓀δ+ɋ𝓀ĺ)ĺ1)1ƥ+ɋ,1+(1ň,ĺ=1ĺ(|1+(1+λ𝒽)ƥ(1+λ𝒽ĺ)q|ĺ1))1ƥ+ɋ+i(1+(1ň,ĺ=1ĺ(|1+(1+δ𝒽)ƥ(1+δ𝒽ĺ)q|ĺ1))1ƥ+ɋ))
    =BCFNWBƥ,ɋ(𝒽1,𝒽2,𝒽3,,𝒽ň).

    The authors extend their appreciation to the Deanship of Scientific Research at King Khalid University, Abha 61413, Saudi Arabia, for funding this work through the research group program under grant number R.G. P-1/129/43.

    The data employed in this analysis are speculative and artificial. One can employ the data before earlier approval simply by citing this article.

    The authors state that they have no conflicts of interest.



    Use of AI tools declaration



    The authors declare they have not used Artificial Intelligence (AI) tools in the creation of this article.

    Authors' contributions



    PP, XGP, and RF worked with and helped gather patient data. PP and XGP drafted the present manuscript. RL, AV and PP revising the work critically for important intellectual content. All authors read and approved the final manuscript.

    Data availability statement



    The data used to support the findings of this study may be released upon application to the corresponding author who can be contacted at ppavone@unict.it.

    Conflict of interest



    The authors declare no conflict of interest.

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