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Post COVID-19 pandemic possible business continuity strategies for construction industry revival a preliminary study in the Malaysian construction industry 新冠肺炎大流行后建筑业复苏的可能业务连续性战略马来西亚建筑业的初步研究
IF 1.6 Q4 ENVIRONMENTAL STUDIES Pub Date : 2022-06-03 DOI: 10.1108/ijdrbe-11-2021-0147
Y. Gamil, A.H. Al-Sarafi, Taoufik Najeh
PurposeCOVID-19 pandemic has unprecedentedly shattered the entire world economy and development. Without exclusion, the construction industry has undergone very extreme disruption. Many projects have been suspended, many employees lost their jobs and many construction companies bankrupted. This study aims to explore the possible business continuity plans, a roadmap to recovery and strategies to revive the construction industry after COVID-19.Design/methodology/approachMix mode method approach was used to address the research problem, and that includes interviews with 16 selected construction experts who have been working in the Malaysian industry for more than 10 years and a questionnaire with 187 construction practitioners. The aim of conducting the interviews is to get an insight into the current impact of the pandemic on the construction industry, and the questionnaire aims to statistically rank the importance of revival strategies using a Likert-type scale. Further, the data were analysed using a univariate approach by calculating the relative importance index to assess the importance of each strategy.FindingsThe findings showed that the pandemic has severely affected the Malaysian construction industry in many aspects and effective restoration strategies are necessary to cope with the changes. The strategies were categorized into four different aspects includes health and practice, technology, operational, legal and governmental strategies. The finding shows that the topmost ranked strategy in terms of importance is introducing COVID-compliant operating procedures and protocols on-site by adjusting current working procedures, urgent government stimuli (loan, financial aid to the affected firms) and other financial incentives, leveraging digital and online technology for virtual meeting and communication, comprehensive and revision study of the health guidelines to suit construction activities and digital transformation of work. The study suggests a more in-depth study to evaluate the impact and assess the success of strategies for the betterment of the future of the Malaysian construction industry.Practical implicationsThe study presented a better understanding of the possible business continuity strategies for construction industry revival, which are important for decision makers and the government to reconsider for the revival of the industry. The findings also are of interest to the construction stakeholders.Originality/valueThere have been many research addressing the impact of the pandemic on the construction industry, but less are available on the possible strategies for continual and revival of construction industry amid and after the pandemic. It is, therefore, crucial to address this topic, especially the assessment of these strategies based on their importance.
有目的的新冠肺炎疫情前所未有地破坏了整个世界的经济和发展。在没有排斥的情况下,建筑业经历了非常极端的破坏。许多项目被暂停,许多员工失业,许多建筑公司破产。本研究旨在探索新冠肺炎疫情后可能的业务连续性计划、复苏路线图和振兴建筑业的战略。设计/方法学/approachMix模式方法用于解决研究问题,其中包括对16名在马来西亚行业工作超过10年的选定建筑专家的采访 年,并对187名建筑从业者进行了问卷调查。进行采访的目的是深入了解疫情对建筑业的当前影响,问卷旨在使用Likert型量表对复兴策略的重要性进行统计排名。此外,通过计算相对重要性指数,使用单变量方法对数据进行分析,以评估每种策略的重要性。调查结果显示,疫情在许多方面严重影响了马来西亚建筑业,需要采取有效的恢复策略来应对这些变化。这些战略分为四个不同的方面,包括卫生和实践、技术、运营、法律和政府战略。研究结果表明,就重要性而言,最重要的策略是通过调整当前的工作程序、紧急政府刺激措施(贷款、对受影响公司的财政援助)和其他财政激励措施,利用数字和在线技术进行虚拟会议和沟通,在现场引入符合新冠肺炎的操作程序和协议,全面修订健康指南,以适应建筑活动和数字化转型工作。该研究建议进行更深入的研究,以评估改善马来西亚建筑业未来的战略的影响和成功与否。实践意义该研究更好地理解了建筑业复兴的可能业务连续性策略,这对决策者和政府重新考虑建筑业复兴很重要。这些发现也引起了建筑利益相关者的兴趣。独创性/价值关于疫情对建筑业的影响,已有许多研究,但关于疫情期间和之后建筑业持续复苏的可能策略,研究较少。因此,处理这一专题至关重要,尤其是根据这些战略的重要性对其进行评估。
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引用次数: 0
Multi-hazard risk assessment of typhoon, typhoon-rainfall and post-typhoon-rainfall in the Mid-Central Coastal region of Vietnam 越南中部沿海地区台风、台风降雨和台风后降雨的多灾害风险评估
IF 1.6 Q4 ENVIRONMENTAL STUDIES Pub Date : 2022-06-01 DOI: 10.1108/ijdrbe-12-2021-0159
T. Thuc, Tran Thanh Thuy, H. T. Huong
PurposeThis paper aims to develop a multi-hazard risk assessment method based on probability theory and a set of economic, social and environmental indicators, which considers the increase in hazards when they occur concurrently or consecutively.Design/methodology/approachDisaster risk assessment generally considers the impact and vulnerability of a single hazard to the affected location/object without considering the combination of multiple hazards occurring concurrently or consecutively. However, disasters are often closely related, occurring in combination or at the same time. Probability theory was used to assess multi-hazard, and a matrix method was used to assess the interaction of hazard vulnerabilities.FindingsThe results of the case study for the Mid-Central Coastal Region show that the proportions of districts at a very high class of multi-hazard, multi-vulnerabilities and multi-hazard risk are 81%, 89% and 82%, respectively. Multi-hazard risk level tends to decrease from North to South and from East to West. A total of 100% of coastal districts are at high to very high multi-hazard risk classes. The research results could assist in the development of disaster risk reduction programs towards sustainable development and support the management to reduce risks caused by multi-hazard.Originality/valueThe multi-risk assessment method developed in this study is based on published literature, allowing to compare quantitatively multiple risk caused by multi-hazard occurring concurrently or consecutively, in which, a relative increase in hazard and vulnerability is considered. The method includes the assessment of three components of disaster risk including multi-hazard, exposure and multi-vulnerability. Probability and Copula theories were used to assess multi-hazard, and a matrix method was used to assess the interaction intensity of multi-vulnerabilities in the system.
目的本文旨在开发一种基于概率论和一组经济、社会和环境指标的多灾害风险评估方法,该方法考虑了灾害同时或连续发生时的增加。设计/方法/方法灾害风险评估通常考虑单个危险对受影响地点/物体的影响和脆弱性,而不考虑同时或连续发生的多个危险的组合。然而,灾害往往是密切相关的,同时或同时发生。概率论用于评估多个危险,矩阵法用于评估危险脆弱性的相互作用。调查结果中中部沿海地区的案例研究结果显示,多灾害、多脆弱性和多灾害风险等级极高的地区比例分别为81%、89%和82%。从北到南、从东到西,多灾害风险等级呈下降趋势。共有100%的沿海地区处于高至极高的多灾害风险等级。研究结果有助于制定可持续发展的减少灾害风险计划,并支持管理层减少多灾害造成的风险。独创性/价值本研究开发的多风险评估方法基于已发表的文献,允许对同时或连续发生的多个危害造成的多个风险进行定量比较,其中考虑了危害和脆弱性的相对增加。该方法包括对灾害风险的三个组成部分进行评估,包括多灾害、暴露和多脆弱性。使用概率论和Copula理论评估多个危害,并使用矩阵方法评估系统中多个漏洞的相互作用强度。
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引用次数: 0
An overview of the state of urban resilience in Iran 伊朗城市恢复力状况综述
IF 1.6 Q4 ENVIRONMENTAL STUDIES Pub Date : 2022-05-31 DOI: 10.1108/ijdrbe-01-2022-0001
Nabi Moradpour, A. Pourahmad, H. Hataminejad, K. Ziari, Ayyoob Sharifi
PurposeIn Iran, the frequent occurrence of disasters has always been a major problem. In recent decades, disasters have created considerable challenges, especially in cities. Hence, understanding the levels of urban resilience (UR) and planning for addressing vulnerabilities plays a key role in the era of increasing risks and uncertainties. The present study aims to provide a comprehensive overview of the state of resilience of Iranian cities.Design/methodology/approachA systematic literature review method was used to determine how resilient Iranian cities are. To find relevant studies, the authors searched Iranian and international databases such as Scopus, ScienceDirect, SID and Magiran. There was no restriction on the inclusion date, meaning that all papers published up until September 16, 2021 were considered for inclusion. The PRISMA framework was used for literature search and selection and, finally, 153 studies focused on 52 cities of Iran were selected for the systematic review.FindingsIn general, the results showed that the level of resilience was low in Iranian cities. Also, informal settlements, worn-out urban fabrics and the central parts of cities showed lower resilience than other parts.Originality/valueThe results of the study can be used to inform municipal authorities, urban planners and non-governmental organizations of the actions that need to be taken to enhance the resilience of Iranian cities.
目的在伊朗,灾害的频繁发生一直是一个大问题。近几十年来,灾害带来了相当大的挑战,尤其是在城市。因此,在风险和不确定性不断增加的时代,了解城市复原力的水平和应对脆弱性的规划发挥着关键作用。本研究旨在全面概述伊朗城市的恢复力状况。设计/方法/方法采用系统的文献综述方法来确定伊朗城市的弹性。为了找到相关研究,作者搜索了伊朗和国际数据库,如Scopus、ScienceDirect、SID和Magiran。入选日期没有限制,这意味着截至2021年9月16日发表的所有论文都被考虑入选。PRISMA框架用于文献检索和选择,最终选择了153项针对伊朗52个城市的研究进行系统综述。调查结果显示,总体而言,伊朗城市的恢复力水平较低。此外,非正规住区、破旧的城市结构和城市中心地区的复原力低于其他地区。原创性/价值研究结果可用于向市政当局、城市规划者和非政府组织通报需要采取的行动,以提高伊朗城市的复原力。
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引用次数: 2
Temporary sheltering areas in case of earthquakes: engineering design, implementation and policy experiences. The case of Quito – Ecuador 地震时的临时避难区:工程设计、实施和政策经验。厄瓜多尔基多案例
IF 1.6 Q4 ENVIRONMENTAL STUDIES Pub Date : 2022-05-24 DOI: 10.1108/ijdrbe-09-2021-0129
F. Yepez, Juan P. Villacreses
PurposeThis paper aims to present implementation of temporary sheltering areas (TSAs), in case of earthquakes for Quito, as a low-cost mitigation project in developing countries. Four pilot TSAs were built and a limited communication effort was implemented by municipality. Years after, effectiveness of the project was evaluated.Design/methodology/approachTSA locations were chosen considering technical aspects, using a weighted decision matrix through an analytical hierarchy process defined with private and public sector professionals. Four pilot TSAs were built and information about them was spread including a hazard signage program targeted to the population.FindingsAfter a year, communication effort conceived by the municipality ended, decision-makers changed and a M5.1 local earthquake hit the city, causing few casualties and structural damage. Population and municipality officials had forgotten about the project. TSA facilities were out of service. Four years later, authorities changed again, TSA changed their use, hazard signage program was abandoned and population was completely unaware about the project.Practical implicationsTSA project is a suitable low-cost disaster management initiative for developing countries. However, if a sustainable communication is not performed, suitable mitigation projects could be ineffective in time.Originality/valueThis paper demonstrates how to implement TSAs in cities with limited resources and following a rational decision procedure. It remarks benefits and mistakes detected years after that could improve decisions in similar preparedness initiatives against earthquakes in other developing countries.
目的本文旨在介绍基多地震时临时避难区(TSA)的实施情况,作为一项低成本的发展中国家减灾项目。建立了四个试点TSA,市政府实施了有限的沟通工作。几年后,对该项目的有效性进行了评估。设计/方法/方法TSA地点的选择考虑了技术方面,使用加权决策矩阵,通过与私营和公共部门专业人员定义的层次分析过程。建立了四个试点TSA,并传播了有关它们的信息,包括针对人群的危险标识计划。发现一年后,市政当局设想的沟通工作结束了,决策者发生了变化,当地发生了5.1级地震,几乎没有造成人员伤亡和结构破坏。人口和市政官员已经忘记了这个项目。TSA设施停运。四年后,当局再次改变,TSA改变了他们的用途,危险标识项目被放弃,人们完全不知道这个项目。实际意义TSA项目是一项适合发展中国家的低成本灾害管理举措。然而,如果不进行可持续的沟通,适当的缓解项目可能会及时失效。创意/价值本文展示了如何在资源有限的城市实施TSA,并遵循合理的决策程序。它指出,多年后发现的好处和错误可以改善其他发展中国家类似地震防备举措的决策。
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引用次数: 0
Temporary housing site selection in Soffeh Mountain, District 5 of Isfahan, Iran 伊朗伊斯法罕第五区Soffeh山临时住房选址
IF 1.6 Q4 ENVIRONMENTAL STUDIES Pub Date : 2022-05-20 DOI: 10.1108/ijdrbe-12-2021-0162
Sayed Arash Hosseini Sabzevari, Zoheir Mottaki, Atoosa Hassani, Somayeh Zandiyeh, Fereshteh Aslani
PurposeFinding an appropriate place for temporary housing after an earthquake is one of the main challenges of disaster risk management, especially in developing countries. Therefore, it is necessary to create pre-disaster location plans for the homeless population. This study aims to systematically find safe places and select suitable sites according to influential factors.Design/methodology/approachThe research methodology used is a descriptive–analytical method. A field survey with a quantitative–qualitative approach is applied to recognize physical vulnerabilities and select suitable sites for temporary settlements. Due to the occurrence of several earthquakes in recent decades around the city of Isfahan, Iran, this area has been studied. Fuzzy analytic hierarchy process, geographic information system and rapid visual screening have been used for data analysis.FindingsAccording to the site selection and vulnerability criteria and their prioritization, the findings indicate that 60% of the study area is vulnerable. Moreover, vacant lots, stadiums and public green spaces that can be used as multi-purpose sites are the most appropriate options for the temporary settlement.Practical implicationsThe research criteria are generalizable and can be used for decision-making, concerning urban fabric vulnerability and site selection of temporary housing in cities exposed to earthquake risk.Originality/valueCultural features, accessibility, land conditions, the slope and type of land, availability and construction materials were addressed in locating temporary settlements. In addition to vacant lots and open spaces, safe buildings were also identified for temporary housing, and religious minorities and similar communities were considered.
在地震后寻找合适的临时住房是灾害风险管理的主要挑战之一,特别是在发展中国家。因此,有必要为无家可归者制定灾前安置计划。本研究的目的是根据影响因素,系统地寻找安全场所,选择合适的场所。设计/方法/方法使用的研究方法是描述性分析方法。采用定量定性方法进行实地调查,以确认物理脆弱性并选择适当地点作为临时定居点。由于近几十年来在伊朗伊斯法罕市附近发生了几次地震,人们对这一地区进行了研究。数据分析采用了模糊层次分析法、地理信息系统和快速视觉筛选法。结果根据选址和易损性标准及其优先级,研究区有60%的易损性。此外,空地、体育场馆和公共绿地可以作为多功能场地,是临时定居点最合适的选择。实际意义研究标准具有通用性,可用于地震风险城市的城市结构脆弱性和临时住房选址决策。在确定临时定居点时,讨论了原创性/价值文化特征、可达性、土地条件、斜坡和土地类型、可用性和建筑材料。除了空地和开放空间外,还确定了安全建筑作为临时住房,并考虑了宗教少数群体和类似社区。
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引用次数: 2
Adaptation measures on hydrological risks and climate change impacts in urbanized sub-region, Thailand: a case study in lower Chao Phraya River basin 泰国城市化次区域水文风险和气候变化影响的适应措施——以湄南河下游流域为例
IF 1.6 Q4 ENVIRONMENTAL STUDIES Pub Date : 2022-05-09 DOI: 10.1108/ijdrbe-08-2021-0113
Sutinee Chao-amonphat, V. Nitivattananon, Sirinapha Srinonil
PurposeThis study aims to explain the existing adaptation practices in an urbanized sub-region in the lower Chao Phraya River basin (CPRB) across different scales and dimensions. It offers an overview of water hazards in urban areas along the river basin to discover ways to deal with and recover from hazards via understanding the implications of existing and potential practice for the mitigation of hydrological hazards.Design/methodology/approachFirst, this study collected current adaptation strategies and measures from interview, focus group discussion, workshop organization, etc. to get the current adaptation strategies/measures for the whole CPRB and each specific area. Second, this study identified a set of criteria for evaluation from review of current publications and official reports. Then, the current adaptation strategies/measures were examined through a set of criteria to obtain the current situation of existing practices. Finally, analysis of key challenges and opportunities was done to propose supporting guidelines to reduce hydrological risks and incorporate further adaptation measures needed to boost resilience in the area.FindingsAdaptation methods should focus on mixed adaptation, which integrates structural, social, organizational and natural adaptation, and to develop multi-dimensional collaboration. The adaption strategy has restricted the usage of some technologies and technical know-how, particularly in the area of climate change. As a result, intentional adaptation to become more inventive is required, to reduce hazards and improve disaster-response capacity. The various adaptation measures should be more integrated or more adaptive and to achieve greater cohesion and mutual benefit of individual measures, such as community-based adaptation or community-driven slum upgrading.Originality/valueHydrological risks are wreaking havoc on social, economic and environmental elements, particularly river flood, flash flood and drought in the Asia-Pacific region. Twenty-two existing adaptation options were evaluated with evaluation criteria such as scales of risks/impacts reduction, benefits of environmental and socio-economic and institutional aspects. The findings highlight the current situation of existing practices, key challenges and opportunities, which emphasized on natural-based solutions, raising knowledge and awareness and lessons learned on adaptation of hydrological risks. The existing adaptation measures will be suggested as supporting guidelines and master plans to minimize the hydrological risks.
目的探讨湄南河下游城市化次区域在不同尺度和维度上的适应实践。它概述了沿河流域城市地区的水害,通过了解减轻水文危害的现有和潜在做法的影响,发现应对和从危害中恢复的方法。设计/方法/方法首先,本研究通过访谈、焦点小组讨论、研讨会组织等收集了当前的适应策略和措施,以获得整个CPRB和每个特定区域的当前适应策略/措施。第二,本研究通过审查当前出版物和官方报告确定了一套评价标准。然后,通过一套标准来审查当前的适应策略/措施,以获得现有实践的现状。最后,对主要挑战和机遇进行了分析,提出了减少水文风险的支持性指导方针,并纳入了提高该地区恢复能力所需的进一步适应措施。适应方法应以结构适应、社会适应、组织适应和自然适应相结合的混合适应为重点,发展多维度协同适应。适应战略限制了某些技术和技术专门知识的使用,特别是在气候变化领域。因此,需要有意识地适应,使其更具创造性,以减少灾害和提高灾害反应能力。各种适应措施应更加综合或更具适应性,并实现个别措施的更大凝聚力和互利,例如以社区为基础的适应或社区驱动的贫民窟改造。水文风险正在对社会、经济和环境因素造成严重破坏,特别是在亚太地区的河流洪水、山洪和干旱。根据诸如减少风险/影响的规模、环境和社会经济以及体制方面的效益等评价标准,对22种现有适应方案进行了评价。研究结果强调了现有做法的现状、主要挑战和机遇,强调了基于自然的解决方案,提高了对水文风险适应的知识和认识,并吸取了经验教训。现有的适应措施将被建议作为辅助准则和总体规划,以尽量减少水文风险。
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引用次数: 1
The “disaster cycle” (DC) and actors in disaster management “灾害周期”(DC)和灾害管理中的参与者
IF 1.6 Q4 ENVIRONMENTAL STUDIES Pub Date : 2022-04-25 DOI: 10.1108/ijdrbe-01-2022-0008
M. Balamir
PurposeThe purpose is to indicate that the conventional graphical expression of cyclic stages of stages of disaster activities is still irrelevantly used in communications.Design/methodology/approachLatent assumptions of the disaster cycle (DC) depiction are scrutinized. The nature of current organizational units responsible for carrying out related tasks and equipped with contemporary technology and know-how are clarified. It is indicated that the operations of these organizations today have no resemblance to any cyclic sequence.FindingsWith all of its various mutations, DC does not only represent an outdated conceptualization of disaster-related activities but also conceals the globally adopted priority currently given to risk reduction policy. The contemporary organizational setup based on mitigation efforts depends on highly specialized units and teams simultaneously dedicated to the different aspects of risk management tasks.Practical implicationsDC is to be taken as a representative understanding of a past policy environment. It is no more an explanation of current disaster affairs and must be removed from circulation.Originality/valueThe argument serves to disregard past policy concepts, clarify the new organizational setup in disaster management and help adopt communications to current realities.
目的:目的是表明灾害活动阶段的循环阶段的传统图形表达在通信中仍然不相关。设计/方法/方法对灾害周期(DC)描述的潜在假设进行了仔细审查。阐明了负责执行相关任务并配备现代技术和专门知识的现有组织单位的性质。有人指出,这些组织今天的运作与任何循环序列都没有相似之处。发现DC有着各种各样的突变,它不仅代表了对灾害相关活动的过时概念,而且掩盖了目前全球对减少风险政策的优先考虑。基于缓解工作的现代组织设置依赖于高度专业化的单位和团队,同时致力于风险管理任务的不同方面。实际含义DC应被视为对过去政策环境的代表性理解。它不再是对当前灾难事件的解释,必须从发行中删除。独创性/价值这一论点旨在无视过去的政策概念,澄清灾害管理中的新组织设置,并帮助采用与当前现实的沟通方式。
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引用次数: 2
Multihazard risk assessment of educational institutes of Dehradun, Uttarakhand 北阿坎德邦德拉敦教育机构的多危险性风险评估
IF 1.6 Q4 ENVIRONMENTAL STUDIES Pub Date : 2022-04-12 DOI: 10.1108/ijdrbe-08-2021-0091
Shivani Chouhan, Aishwarya Narang, M. Mukherjee
PurposeIn the event of a disaster, educational institutions like schools serve as lifeline buildings. Hence, it is crucial to safeguard these buildings for the communities that may depend on the school as a disaster shelter and aid center. Thus, this paper aims to conduct a multihazard risk assessment survey at 50 schools (with 246 building blocks) in Dehradun.Design methodology approachThe past few decades have witnessed the impact of multihazard frequency in Uttarakhand, India, due to the geographical features of the Himalayas and its neo-tectonic mountain-building process. Dehradun is the capital of Uttarakhand state and comes under seismic zone IV, which is highly prone to earthquakes.FindingsThe hazard assessment is divided into two types of surveys: first, building-level surveys that include rapid visual screening, nonstructural risk assessment and fire safety audit, and second, campus-level surveys that include vulnerability analysis for earthquake, flood, industrial hazard, landslide and wind.Social implicationsThis paper will list several gaps and unrecognized practices in the region that increase the schools’ multihazard risk. The study’s outcome will help prioritize the planning of disaster awareness, retrofitting execution, future construction practices and decision-making to minimize the risk and prepare the school for the upcoming disasters.Originality valuePhysical data were collected by the author to determine the multihazard risk analysis in 50 schools in the Dehradun District of Uttarakhand, India. The building- and campus-level surveys have been used to generate a database for the retrofit and renovation process for each individual school to use their budget fruitfully and in a planned way. The survey conducted is more effort and a more detailed risk evaluation which necessitates effectively mitigating and ensuring the potential safety of the region’s schools.
目的在发生灾难时,像学校这样的教育机构是生命线建筑。因此,对于可能依赖学校作为避难所和援助中心的社区来说,保护这些建筑至关重要。因此,本文旨在对德拉顿的50所学校(246个建筑单元)进行多危险性风险评估调查。设计方法论方法过去几十年,由于喜马拉雅山脉的地理特征及其新构造造山过程,印度北阿坎德邦经历了多灾害频率的影响。德拉敦是北阿坎德邦的首府,属于地震四区,极易发生地震。调查结果危险评估分为两类调查:第一,建筑级调查,包括快速视觉筛查、非结构风险评估和消防安全审计;第二,校园级调查,包含地震、洪水、工业危害、滑坡和风的脆弱性分析。社会影响本文将列出该地区增加学校多重危险风险的几个差距和未被承认的做法。该研究的结果将有助于优先规划灾害意识、改造执行、未来施工实践和决策,以最大限度地降低风险,并为学校应对即将到来的灾害做好准备。独创性价值作者收集了物理数据,以确定印度北阿坎德邦德拉敦区50所学校的多危险性风险分析。建筑和校园层面的调查已被用于为每所学校的改造和翻新过程生成一个数据库,以有计划、有成效地使用预算。所进行的调查是一项更大的努力和更详细的风险评估,需要有效缓解和确保该地区学校的潜在安全。
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引用次数: 2
Peripheral Neuropathy in Patients Recovering from Severe COVID-19: A Case Series. 重症 COVID-19 康复期患者的周围神经病变:病例系列。
IF 2.4 Q4 ENVIRONMENTAL STUDIES Pub Date : 2022-04-08 DOI: 10.3390/medicina58040523
Pietro Balbi, Annamaria Saltalamacchia, Francesco Lullo, Salvatore Fuschillo, Pasquale Ambrosino, Pasquale Moretta, Bernardo Lanzillo, Mauro Maniscalco

Background and Objectives: Neurological manifestations have been reported in a significant proportion of coronavirus disease 2019 (COVID-19) patients. We aimed to evaluate the prevalence and severity of peripheral nervous system (PNS) involvement in a large group of convalescent COVID-19 patients undergoing in-hospital multidisciplinary rehabilitation. Materials and Methods: Convalescent COVID-19 patients admitted to a Pulmonary Rehabilitation Unit were consecutively screened for inclusion within 48 h of discharge from an acute care setting. All included patients underwent electrophysiological examinations. Results: Among 102 enrolled patients (mean age 62.0 years, 82.4% males), PNS electrophysiological alterations were detected in 42.2%. Mononeuropathies exclusively involving the peroneal nerve were observed in 8.8% (n = 9), while multiple mononeuropathies were similarly reported in nine patients (8.8%). A symmetric sensorimotor polyneuropathy was documented in 24.5% of participants (n = 25). A significant difference was found for exercise capacity and pulmonary function in post hoc comparisons between the three study groups. Conclusions: The risk of neuropathy in the convalescent phase of COVID-19 is relevant. This should be considered when planning multidisciplinary rehabilitation strategies.

背景和目的:据报道,冠状病毒病2019(COVID-19)患者中有相当一部分出现了神经系统表现。我们的目的是评估一大批接受院内多学科康复治疗的 COVID-19 康复期患者外周神经系统(PNS)受累的患病率和严重程度。材料与方法:对肺康复科收治的 COVID-19 康复患者进行连续筛选,以纳入从急诊出院 48 小时内的患者。所有纳入患者均接受了电生理检查。结果:在 102 名入选患者中(平均年龄 62.0 岁,82.4% 为男性),42.2% 的患者发现了 PNS 电生理改变。仅累及腓总神经的单神经病变占 8.8%(n = 9),多发性单神经病变同样占 9 例(8.8%)。24.5%的参与者(25 人)患有对称性感觉运动多发性神经病。经事后比较发现,三个研究组的运动能力和肺功能存在明显差异。结论在 COVID-19 的康复阶段,神经病变的风险是相关的。在规划多学科康复策略时应考虑到这一点。
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引用次数: 0
Addressing housing needs of the displaced people promoting resilient and sustainable communities 解决流离失所者的住房需求,促进有韧性和可持续的社区
IF 1.6 Q4 ENVIRONMENTAL STUDIES Pub Date : 2022-03-30 DOI: 10.1108/ijdrbe-09-2021-0124
C. Jayakody, C. Malalgoda, D. Amaratunga, R. Haigh, C. Liyanage, M. Hamza, E. Witt, N. Fernando
PurposeAddressing the housing needs of the displaced communities is an essential part of a recovery programme that has distinct links to livelihoods, health, education, security and social and family stability. The housing factor acts as a social centre for family and friends, a source of pride and cultural identity and a resource that commands both political and economic importance. Therefore, addressing the housing needs of the displaced communities should be seen as a mode to promote resilience and sustainable communities. Instead, the consideration of housing needs merely as a physical need results in many issues to the communities, including no access to livelihood, poor living condition, health problems, lack of financial independence, lack of social satisfaction and social cohesion, and sometimes even recreates and worsens the existing vulnerabilities of displaced communities. Within this context, the purpose of this paper is to investigate the factors to consider when addressing the housing needs of the displaced communities, promoting resilience and sustainable communities.Design/methodology/approachThe research team of the project titled REbuildinG AfteR Displacement (REGARD) conducted 47 in-depth interviews in four partner countries (the UK, Sweden, Estonia and Sri Lanka) with officials, community representatives, social support networks, agency networks, etc. Apart from that, focus group discussions were conducted with the community members in Sri Lanka covering both conflict-induced and disaster-induced displacement.FindingsThe findings of this paper revealed that the housing factor has a significant role in rebuilding communities and determining the long-term satisfaction of displaced communities. Further, the results present eight essential factors to consider when addressing the housing needs of the displaced communities, promoting resilient and sustainable communities.Practical implicationsThe findings are helpful for future planners, urban designers, architects and policymakers who work in the resettlement field. Planners, urban designers and architects can use these identified factors to cross-check their resettlement planning and designing strategies in addressing the housing needs of the displaced communities. Further, policymakers can mainstream these identified factors into the resettlement housing-related policies and regulations.Originality/valueAddressing the housing needs of the displaced communities is an essential part of a recovery programme that has distinct links to livelihoods, health, education, security and social and family stability. The housing factor acts as a social centre for family and friends, a source of pride and cultural identity and a resource that commands both political and economic importance. Therefore, addressing the housing needs of the displaced communities should be seen as a mode to promote resilience and sustainable communities. Instead, the consideration of housing needs
目的解决流离失所社区的住房需求是与生计、保健、教育、安全以及社会和家庭稳定有着明显联系的恢复方案的一个重要组成部分。住房因素是家庭和朋友的社交中心,是自豪感和文化认同的来源,也是具有政治和经济重要性的资源。因此,解决流离失所社区的住房需求应被视为促进复原力和可持续社区的一种模式。相反,仅仅把住房需求作为一种物质需要来考虑,会给社区带来许多问题,包括无法获得生计、生活条件差、健康问题、缺乏经济独立、缺乏社会满足感和社会凝聚力,有时甚至会使流离失所社区现有的脆弱性重现并恶化。在此背景下,本文的目的是调查在解决流离失所社区的住房需求,促进复原力和可持续社区时需要考虑的因素。设计/方法/方法“流离失所后重建”(REGARD)项目的研究团队在四个伙伴国家(英国、瑞典、爱沙尼亚和斯里兰卡)与官员、社区代表、社会支持网络、代理网络等进行了47次深度访谈。除此之外,还与斯里兰卡的社区成员进行了焦点小组讨论,讨论了冲突和灾害造成的流离失所问题。研究发现:住房因素在重建社区和决定流离失所社区的长期满意度方面具有重要作用。此外,研究结果还提出了在解决流离失所社区的住房需求、促进有弹性和可持续发展的社区时需要考虑的八个基本因素。研究结果对未来从事移民安置工作的规划者、城市设计师、建筑师和政策制定者都有帮助。规划师、城市设计师和建筑师可以利用这些确定的因素来交叉检查他们的重新安置规划和设计策略,以解决流离失所社区的住房需求。此外,政策制定者可以将这些确定的因素纳入安置住房相关政策和法规的主流。独创性/价值解决流离失所社区的住房需求是与生计、保健、教育、安全以及社会和家庭稳定有着明显联系的恢复方案的一个重要组成部分。住房因素是家庭和朋友的社交中心,是自豪感和文化认同的来源,也是具有政治和经济重要性的资源。因此,解决流离失所社区的住房需求应被视为促进复原力和可持续社区的一种模式。相反,仅仅把住房需求作为一种物质需要来考虑,会给社区带来许多问题,包括无法获得生计、生活条件差、健康问题、缺乏经济独立、缺乏社会满足感和社会凝聚力,有时甚至会使流离失所社区现有的脆弱性重现并恶化。在此背景下,本文调查了在解决流离失所社区的住房需求,促进复原力和可持续社区时需要考虑的因素。
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引用次数: 3
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International Journal of Disaster Resilience in the Built Environment
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