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Community resilience to multi-hazard risks: Insights from Narayani Basin, Nepal 社区抵御多种灾害风险的能力:来自尼泊尔纳拉亚尼盆地的见解
IF 3.8 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2026-01-01 DOI: 10.1016/j.pdisas.2026.100523
Prakriti Niraula , Chandra Lal Pandey , Raj Kumar Pariyar
Nepal's diverse topography and changing climate expose communities to interconnected multi-hazard risks, including floods, landslides, storms, and earthquakes. This study examines the status and interlinkages of five resilience dimensions—social, economic, physical, institutional, and environmental—within the Narayani basin, one of the country's most hazard-prone regions. Employing a mixed-methods approach with household surveys, in-depth interviews and focus group discussions in Khairahani and Bharatpur municipalities, the study finds a disconnect between strong informal networks and limited formal systems. Social solidarity is robust, but formal social protection and inclusive decision-making are weak. Economic resilience is constrained by dependence on subsistence agriculture and daily wage labor, with limited access to financial services. Infrastructural resilience is uneven, with gaps in disaster-resilient infrastructure and early warning systems creating cascading vulnerabilities. Institutional capacity is limited by resource shortages and weak inter-agency coordination, while environmental resilience is threatened by climate change and fragile ecosystem services despite community-led initiatives. The findings highlight the interdependence of resilience dimensions, showing that deficits in one area amplify vulnerabilities in others. The study contributes a context-specific multi-hazard resilience framework for Nepal and provides actionable insights for integrated, multi-capital strategies to strengthen resilience in complex hazard environments.
尼泊尔多样的地形和不断变化的气候使社区面临相互关联的多种灾害风险,包括洪水、山体滑坡、风暴和地震。本研究考察了纳拉亚尼盆地(该国最易发生灾害的地区之一)五个恢复力维度(社会、经济、自然、制度和环境)的现状及其相互联系。该研究采用家庭调查、深度访谈和焦点小组讨论等混合方法,在Khairahani和Bharatpur市发现了强大的非正式网络和有限的正式系统之间的脱节。社会团结是强有力的,但正式的社会保护和包容性决策是薄弱的。经济弹性受到对自给农业和日薪劳动力的依赖以及获得金融服务的机会有限的制约。基础设施的抗灾能力参差不齐,抗灾基础设施和早期预警系统的差距造成了连锁脆弱性。机构能力受到资源短缺和机构间协调薄弱的限制,而环境复原力受到气候变化和脆弱生态系统服务的威胁,尽管有社区主导的倡议。研究结果强调了弹性维度之间的相互依赖性,表明一个领域的缺陷会放大其他领域的脆弱性。该研究为尼泊尔提供了一个针对具体情况的多灾害复原力框架,并为在复杂灾害环境中加强复原力的综合多资本战略提供了可操作的见解。
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引用次数: 0
Cyclone Ditwah: What next for Sri Lanka beyond the storm 迪特瓦飓风:风暴过后斯里兰卡的下一步是什么
IF 3.8 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2026-01-01 DOI: 10.1016/j.pdisas.2026.100518
Dilanthi Amaratunga , Lahiru Kodituwakku
Cyclone Ditwah inflicted catastrophic damage on Sri Lanka, claiming over 600 lives and displacing more than 200,000 people. Initial assessments indicate that nearly 10% of the population—approximately 2.3 million people—was affected by the disaster. Direct damages across the residential, infrastructure, and agricultural sectors are estimated at US$4.1 billion, representing roughly 4% of the nation's 2024 GDP. Furthermore, the health sector requires an estimated LKR 21,026.73 million to restore full operational capacity. While the immediate response was swift, the sheer scale of destruction exposed critical gaps in the national disaster preparedness and response framework. This paper analyses in detail the system performance in the aftermath of the cyclone to provide evidence-based recommendations for strengthening Sri Lanka's disaster management systems.
“迪特瓦”气旋给斯里兰卡造成了灾难性的破坏,造成600多人死亡,20多万人流离失所。初步评估显示,近10%的人口——约230万人——受到了灾难的影响。住宅、基础设施和农业部门的直接损失估计为41亿美元,约占该国2024年GDP的4%。此外,卫生部门估计需要210 2673万冰岛克朗才能完全恢复业务能力。虽然立即的反应是迅速的,但破坏的规模暴露了国家备灾和反应框架的严重差距。本文详细分析了该系统在强热带风暴后的表现,为加强斯里兰卡的灾害管理系统提供循证建议。
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引用次数: 0
Probabilistic tsunami risk assessment based on supervised learning considering nonstationary sea-level rise and multiple source rupture: Application to Denpasar City of Bali 考虑非平稳海平面上升和多震源破裂的基于监督学习的概率海啸风险评估:在巴厘岛登巴萨市的应用
IF 3.8 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2026-01-01 DOI: 10.1016/j.pdisas.2025.100505
Willy Cahyadhiputra Gunawan , Abdul Kadir Alhamid , Mitsuyoshi Akiyama , Muhamad Farhan Permana , Mohammad Farid , Alamsyah Kurniawan , Mohammad Bagus Adityawan
Tsunami is among most devastating natural disasters, posing major threats to coastal communities. In Indonesia, with its extensive megathrust zone, a key challenge is capturing the uncertainties of fault rupture location earthquake magnitudes. Sea-level rise further complicates this by increasing inundation depth and altering inundation patterns across rupture scenarios. This study aims to perform probabilistic tsunami risk assessments of economic loss based on supervised learning considering multiple source ruptures and sea-level rise effects. Historical earthquake and sea-level rise data are collected, and the fault rupture parameters are derived using scaling relationships. Tsunami propagation analyses are conducted based on several combinations of earthquake magnitude and sea-level rise. A Gaussian Process Regression surrogate model is employed to capture the relationship between inundation depth, magnitude, and sea-level rise. The tsunami hazard curve is estimated based on the magnitude and sea-level rise uncertainties using Monte Carlo simulation. Finally, tsunami risk is evaluated by convolving the tsunami hazard curve with the fragility curve of the exposed structures and their corresponding unit loss. The framework enables rapid risk assessment considering multiple source ruptures. Results indicate that the risk amplification due to sea-level rise is strongly influenced by rupture location and tsunami intensity.
海啸是最具破坏性的自然灾害之一,对沿海社区构成重大威胁。在印度尼西亚,由于其巨大的逆冲带,一个关键的挑战是捕捉断层破裂位置地震震级的不确定性。海平面上升增加了淹没深度,改变了破裂情景下的淹没模式,使情况进一步复杂化。本研究基于监督学习,考虑多震源破裂和海平面上升效应,对经济损失进行概率海啸风险评估。收集历史地震和海平面上升数据,利用尺度关系推导断层破裂参数。海啸传播分析是基于地震震级和海平面上升的几种组合进行的。采用高斯过程回归替代模型捕捉淹没深度、震级和海平面上升之间的关系。利用蒙特卡罗模拟,根据震级和海平面上升的不确定性,估算了海啸危害曲线。最后,通过将海啸危害曲线与暴露结构的易损性曲线及其相应的单位损失进行卷积来评估海啸风险。该框架允许考虑多个源破裂的快速风险评估。结果表明,断裂位置和海啸强度对海平面上升的风险放大有强烈影响。
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引用次数: 0
Improving disaster preparedness and recovery of Bangladesh riverbank erosion areas: Insights from household perceptions and practices 改善孟加拉国河岸侵蚀地区的备灾和恢复:来自家庭观念和实践的见解
IF 3.8 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2026-01-01 DOI: 10.1016/j.pdisas.2026.100526
Rokshana Binta Samad , Jouni Paavola , James D. Ford , Paula Novo
Riverbank erosion significantly affects lives and livelihoods but is still neglected in disaster risk reduction (DRR) research and policy, which tend to focus on rapid-onset events. This research examines how household preparedness affects recovery outcomes in riverbank erosion-prone areas in Bangladesh, addressing an important gap in understanding anticipatory action to slow-onset disasters. Drawing from a mixed-methods approach consisting of household surveys (n = 280), focus group discussions, and key informant interviews in Harirampur and Sariakandi Upazilas, the research develops and utilises a multidimensional preparedness index. The index covers behavioural, socio-economic, and institutional aspects of preparedness, providing a new framework for assessing household preparedness in chronic hazard settings. The preparedness index shows that households in the low to somewhat prepared categories are among the most recently impacted. Past-impacted households in Harirampur are marginally better off than Sariakandi. Harirampur households' preparedness was linked with significantly lower asset loss. In both sites, insufficient financial resources and the absence of early warning systems were major barriers, and most households' recovery time exceeds two years. The findings show that local knowledge and informal coping strategies boost resilience, while the lack of early warnings and material support adversely affects preparedness. By linking preparedness to recovery and establishing its role in reducing asset losses, we add new empirical evidence and a practical tool that helps target households in need of support. The findings emphasize how context-specific preparedness should be integrated into national DRR frameworks and inclusive community-based approaches in erosion-prone areas.
河岸侵蚀严重影响人们的生活和生计,但在减少灾害风险(DRR)的研究和政策中仍然被忽视,这些研究和政策往往侧重于快速发生的事件。本研究考察了孟加拉国河岸侵蚀易发地区的家庭准备如何影响恢复结果,解决了在理解对缓慢发生的灾害采取预期行动方面的一个重要空白。该研究采用混合方法,包括在Harirampur和Sariakandi Upazilas进行住户调查(n = 280)、焦点小组讨论和关键信息提供方访谈,开发并利用了多维防备指数。该指数涵盖了备灾的行为、社会经济和体制方面,为评估长期灾害环境下的家庭备灾提供了一个新的框架。备灾指数显示,备灾程度较低或有所准备的家庭最近受到的影响最大。哈里兰普尔过去受影响的家庭比萨里亚坎迪略好一些。哈里拉姆普尔家庭的备灾与资产损失显著降低有关。在这两个地点,财政资源不足和缺乏预警系统是主要障碍,大多数家庭的恢复时间超过两年。研究结果表明,当地知识和非正式的应对策略可以提高抵御力,而缺乏早期预警和物质支持则会对准备工作产生不利影响。通过将备灾与恢复联系起来,确立其在减少资产损失方面的作用,我们增加了新的经验证据和实用工具,帮助需要支持的目标家庭。研究结果强调应如何将因地制宜的准备工作纳入国家减少灾害风险框架,并在易受侵蚀地区采用包容性的基于社区的方法。
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引用次数: 0
Disaster relief strategies of the Buddhist Tzu Chi Charity Foundation: A case study of the 2024 Hualien Earthquake in Taiwan 佛教慈济慈善基金会的救灾策略——以2024年台湾花莲地震为例
IF 3.8 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2026-01-01 DOI: 10.1016/j.pdisas.2026.100517
Hiroka Sato , Noriko Sudo , Ted Hwang , Jennifer Liu , Suh-Ching Yang
Following the 2024 Hualien Earthquake, the Buddhist Tzu Chi Charity Foundation (Tzu Chi) assumed a primary role in managing the disaster response. This study aimed to examine the organisational and contextual factors that enabled Tzu Chi to make such a significant contribution to disaster relief efforts. We conducted two semi-structured group interviews with Tzu Chi personnel: one with two officials from the Central Response Centre and another with three volunteers who supported on-site relief activities. Using thematic analysis, five main themes were extracted: disaster relief management; organisational capacity; collaboration across multiple levels of government; routine activities during non-disaster periods; and attitudes toward relief activities. Findings showed that Tzu Chi strategically coordinated volunteer deployment considering workload and psychological well-being. Its large pool of volunteers and abundant material resources enabled it to assume multiple roles during the emergency. Well-established public–private partnerships between Tzu Chi and the government also facilitated effective cooperation. Additionally, volunteer activities routinely conducted during non-disaster periods were effectively adapted to disaster relief operations. Finally, Tzu Chi volunteers placed strong emphasis on providing psychological support to disaster victims. These organisational characteristics and value-based practices offer valuable insights for countries that have experienced management challenges in past disaster responses.
在2024年花莲大地震后,佛教慈济慈善基金会(以下简称慈济)承担了救灾管理的首要角色。本研究旨在检视慈济为何能在灾难救援中做出如此重大贡献的组织与情境因素。我们对慈济人员进行了两次半结构化的小组访谈:一次是中央反应中心的两名官员,另一次是现场支援救援活动的三名志工。通过专题分析,提炼出五个主要主题:救灾管理;组织能力;各级政府之间的协作;非灾害期间的日常活动;以及对救援活动的态度。研究结果显示,慈济会因应工作负荷与心理健康,策略性地协调志工部署。其庞大的志愿者队伍和丰富的物质资源使其能够在紧急情况下发挥多重作用。慈济与政府建立了良好的公私伙伴关系,也促进了有效的合作。此外,在非灾害期间经常进行的志愿活动有效地适应了救灾行动。最后,慈济志工非常重视灾民的心理支援。这些组织特征和基于价值的实践为在过去的灾害应对中经历过管理挑战的国家提供了宝贵的见解。
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引用次数: 0
Warning cultures in practice: Shadow systems in local flood risk governance 实践中的预警文化:地方洪水风险治理中的影子系统
IF 3.8 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2026-01-01 DOI: 10.1016/j.pdisas.2025.100513
Jeff Da Costa , Hannah L. Cloke , Jessica Neumann , Nathan Salvidge
Early warning reduces flood risk when forecasts are interpreted and converted into timely local action. In Luxembourg, a nationally centralised system, with no intermediate tier, places the next line of decision making immediately with municipalities. This paper examines how a structured shadow system emerges at the local scale to bridge gaps between national alerts and operational needs. Evidence is drawn from a focus group with municipal officials in a flood-affected community, including a flood-scenario exercise simulating an evolving rainfall event to examine decision-making under uncertainty. Thematic analysis shows that national flood alerts are generic, repetitive, and weakly linked to municipal thresholds for initiating preparedness measures. Ambiguous terminology, colour codes, and broad spatial and temporal framing limit their operational usefulness for local response. Frequent low-level alerts contribute to warning fatigue and erode trust. Officials construct meaning through institutional knowledge, lived experience, peer exchange, and heuristics. These locally embedded practices highlight the importance of scale, showing how municipal knowledge both localises and at times overrides national messages. The configuration strengthens local responsiveness but concentrates interpretive responsibility at municipal level without formal support, which can increase variability across jurisdictions. The analysis points to a need for impact-based, temporally precise, municipality-scale products with clear triggers and guidance co-developed with local officials and potentially residents, so that centrally issued forecasts can be converted into anticipatory action at the local level.
当预报被解释并转化为及时的当地行动时,早期预警可以减少洪水风险。在卢森堡,一个没有中间层的国家中央系统,将下一层决策直接交给市政当局。本文研究了一个结构化的影子系统如何在地方范围内出现,以弥合国家警报和业务需求之间的差距。证据来自与受洪水影响社区的市政官员的焦点小组,包括模拟不断变化的降雨事件的洪水情景演习,以检查不确定性下的决策。专题分析表明,国家洪水警报是通用的、重复的,与城市启动备灾措施的阈值联系较弱。模棱两可的术语、颜色代码和广泛的空间和时间框架限制了它们对局部响应的操作有用性。频繁的低级警报会导致警告疲劳,并侵蚀信任。官员们通过制度知识、生活经验、同行交流和启发来构建意义。这些根植于当地的实践突出了规模的重要性,显示了市政知识如何本地化,有时甚至超越了国家信息。这种结构加强了地方的响应能力,但在没有正式支持的情况下,将解释责任集中在市政一级,这可能增加司法管辖区之间的差异。分析指出,需要基于影响的、时间上精确的、市级规模的产品,这些产品具有明确的触发因素和指导,并与地方官员和潜在居民共同开发,以便将中央发布的预测转化为地方一级的预期行动。
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引用次数: 0
Taiwanese settlements vulnerability and risk of earthquakes – Case study of indigenous areas 台湾居民点的脆弱性与地震风险-原住民区个案研究
IF 3.8 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2026-01-01 DOI: 10.1016/j.pdisas.2026.100524
Petra Nepožitková
Taiwan is among the most disaster-prone countries in the world, periodically affected by strong earthquakes that pose a risk to marginalised populations. Taiwanese indigenous peoples tend to be affected by structural inequalities, which influence the way they are affected by natural hazards, as well as post-disaster reconstruction, disaster preparedness, and recovery. Thus, there is a need to map the socioeconomic vulnerability of settlements located in Indigenous Areas, especially vulnerable populations such as the elderly, women, children, and indigenous peoples. Socioeconomic vulnerability is related to the local population's risks arising from the interaction between the social system and earthquake hazard. This article employs the Social Vulnerability Index (SVI) calculated from vulnerability indicators standardized using z-scores normalization to assess and map socioeconomic vulnerability in Indigenous Areas. The risk matrix combining SVI and hazard exposure identifies villages at the highest risk.
Geographic Information System (GIS) analysis reveals that villages in Indigenous Areas form a cluster of high SVI on the east coast and the southern part of the Central Mountains. The earthquake risk matrix shows that the Very High risk category covers a large part of the Indigenous Areas. Especially settlements located in areas surrounding the East Rift Valley and the east coast have both high SVI and risk, except for the major cities of Hualien and Taitung. Resulting risk maps offer an important insight that can be readily used by first responders, policy makers, and stakeholders to improve resilience and disaster management strategies for indigenous communities.
台湾土著人民往往受到结构性不平等的影响,这影响了他们受到自然灾害影响的方式,以及灾后重建、备灾和恢复的方式。因此,有必要绘制土著地区定居点的社会经济脆弱性地图,特别是老年人、妇女、儿童和土著人民等弱势群体。社会经济脆弱性是指当地人口在社会制度与地震灾害相互作用中所面临的风险。本文采用z分数归一化标准化脆弱性指标计算的社会脆弱性指数(SVI)来评估和绘制土著地区的社会经济脆弱性。结合SVI和危害暴露的风险矩阵确定了风险最高的村庄。地理信息系统(GIS)分析表明,在东部沿海和中部山区南部,土著地区村庄形成了一个高SVI集群。地震风险矩阵显示,极高风险类别涵盖了大部分土著地区。特别是位于东部大裂谷和东海岸周边地区的定居点,除了花莲和台东的主要城市外,SVI和风险都很高。由此产生的风险图提供了重要的见解,可以很容易地为第一响应者、决策者和利益攸关方使用,以改善土著社区的复原力和灾害管理战略。
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引用次数: 0
Rainfall-conditioned landslide susceptibility mapping using an FR–CART hybrid framework in southern Thailand 使用FR-CART混合框架在泰国南部进行降雨条件下的滑坡易感性制图
IF 3.8 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2026-01-01 DOI: 10.1016/j.pdisas.2026.100530
Thaksakorn Pornbunyanon , Prasan Jitpat , Piyapong Suwanno
Rainfall-induced landslides in the steep tropical terrain of southern Thailand pose significant challenges to communities, infrastructure, and regional development. This study presents a rainfall-responsive landslide susceptibility framework that integrates static spatial conditioning factors with dynamic rainfall information. A Frequency Ratio (FR) model was first applied to generate a static Landslide Susceptibility Index (LSI) using 17 geospatial variables representing topographic, geological, hydrological, and anthropogenic characteristics. To incorporate the temporal influence of precipitation, a Classification and Regression Tree (CART) model was employed using short-term rainfall metrics, including daily, 3-day, 7-day, and 15-day cumulative rainfall, to derive rainfall-triggering thresholds that conditionally refine existing susceptibility classes rather than generate a new susceptibility index or estimate landslide hazard probability.
Model validation shows that the standalone FR model achieved an Area Under the Curve (AUC) of 0.74, while the integrated FR–CART framework improved performance to an AUC of 0.82. Among the rainfall indicators, the 15-day cumulative rainfall index exhibited the strongest association with landslide occurrences, emphasizing the role of antecedent moisture conditions. In this study, rainfall-conditioned susceptibility is explicitly defined as a rule-based upward adjustment of static LSI classes (e.g., from High to Very High) under real-time or forecasted rainfall scenarios. This conditioning process does not constitute the derivation of a new susceptibility index, nor does it imply probabilistic landslide hazard or risk assessment. The resulting rainfall-conditioned susceptibility outputs support susceptibility-informed interpretation within early-warning applications for monsoon-prone regions of southern Thailand.
在泰国南部陡峭的热带地区,降雨引发的山体滑坡对社区、基础设施和区域发展构成了重大挑战。本文提出了一个将静态空间条件因子与动态降雨信息相结合的降雨响应型滑坡易感性框架。频率比(FR)模型首次应用于生成静态滑坡易感性指数(LSI),该指数使用了代表地形、地质、水文和人为特征的17个地理空间变量。为了纳入降水的时间影响,使用短期降雨指标,包括日、3天、7天和15天累积降雨量,采用分类和回归树(CART)模型,得出降雨触发阈值,有条件地细化现有的敏感性等级,而不是生成新的敏感性指数或估计滑坡灾害概率。模型验证表明,单独的FR模型实现了0.74的曲线下面积(AUC),而集成的FR - cart框架将性能提高到0.82的AUC。在降雨指标中,15天累积降雨量指数与滑坡发生的相关性最强,强调了前缘水分条件的作用。在本研究中,降雨条件敏感性被明确定义为实时或预测降雨情景下静态LSI等级(例如,从高到非常高)基于规则的向上调整。这一调节过程并不构成新的易感性指数的推导,也不意味着概率滑坡灾害或风险评估。由此产生的降雨条件敏感性输出支持泰国南部季风易发地区预警应用中敏感性信息解释。
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引用次数: 0
Decision-making criteria for reverse triage in hospitalized patients following mass casualty incidents: A systematic literature review 大规模伤亡事件后住院患者逆向分诊的决策标准:系统的文献回顾
IF 3.8 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2026-01-01 DOI: 10.1016/j.pdisas.2026.100516
Seyyed Ahmad Mohammadikia , Fatemeh Falahati-Marvast , Mahsa Khodayarian , Ali Raee Ezzabadi , Mohammad Reza Khajehaminian

Background and aim

Mass casualty incidents pose substantial challenges to hospital surge capacity and resource management. Reverse triage has been recognized as a critical strategy for increasing bed availability through the early discharge of selected hospitalized patients. However, the absence of a consolidated, evidence-based, and operational framework of decision-making criteria has limited the systematic application of reverse triage in practice. This study aimed to systematically identify, synthesize, and categorize decision-making criteria for reverse triage of hospitalized patients following mass casualty incidents.

Methods

This systematic literature review was conducted in accordance with the PRISMA 2020 guidelines. A comprehensive search of PubMed, Scopus, and Web of Science databases was performed up to January 31, 2024. Studies addressing decision-making criteria for reverse triage in hospitalized patients were included without restrictions on study design or publication date. Two independent reviewers conducted study screening and data extraction. Study quality was assessed using the Mixed Methods Appraisal Tool (MMAT), and extracted criteria were synthesized through thematic analysis.

Findings

From 10,131 identified records, 19 studies met the inclusion criteria. A total of 374 initial criteria were extracted and synthesized into 34 final criteria. These criteria were organized into four main categories: (1) non-discharge criteria (12 criteria); (2) criteria for relatively stable patients requiring continued hospitalization (10 criteria); (3) social, environmental, or managerial barriers (9 criteria); and (4) supportive criteria for early discharge (3 criteria). In addition, the criteria were classified into four overarching domains: clinical, resource-related, individual, and other factors. Most included studies were assessed as high quality.

Conclusion

This review provides the most comprehensive synthesis of reverse triage decision-making criteria to date and contributes to the standardization of early discharge decision-making in disaster contexts. The identified criteria offer a structured, evidence-informed foundation for the development of hospital discharge protocols and clinical decision support systems, with potential applicability to both mass casualty incidents and routine hospital overcrowding. Future research should prioritize prospective clinical validation of these criteria and explore their implementation across diverse healthcare systems, particularly in resource-limited settings.
Systematic review registration: PROSPERO CRD420251007355.
背景和目的大规模伤亡事件对医院快速应变能力和资源管理提出了重大挑战。逆向分诊已被认为是通过选定住院患者的早期出院来增加床位可用性的关键策略。然而,缺乏一个统一的、基于证据的、可操作的决策标准框架,限制了反向分类在实践中的系统应用。本研究旨在系统地识别、综合并分类大规模伤亡事件后住院患者逆向分诊的决策标准。方法按照PRISMA 2020指南进行系统文献综述。对PubMed、Scopus和Web of Science数据库进行了全面的搜索,截止到2024年1月31日。涉及住院患者逆向分诊决策标准的研究纳入,不受研究设计或出版日期的限制。两名独立审稿人进行了研究筛选和数据提取。采用混合方法评价工具(MMAT)评价研究质量,并通过专题分析综合提取标准。从10131份已确认的记录中,有19项研究符合纳入标准。共提取374个初始标准,并将其合成为34个最终标准。这些标准分为四大类:(1)非出院标准(12项标准);(2)病情相对稳定需要继续住院的患者标准(10项标准);(3)社会、环境或管理障碍(9项标准);(4)早期出院支持标准(3项标准)。此外,这些标准被分为四个主要领域:临床、资源相关、个人和其他因素。大多数纳入的研究被评估为高质量。结论本综述提供了迄今为止最全面的逆向分诊决策标准,有助于灾害情况下早期出院决策的标准化。所确定的标准为制定医院出院协议和临床决策支持系统提供了一个结构化的、循证的基础,可能适用于大规模伤亡事件和医院常规过度拥挤。未来的研究应优先考虑这些标准的前瞻性临床验证,并探索其在不同医疗保健系统中的实施,特别是在资源有限的环境中。系统评价注册:PROSPERO CRD420251007355。
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引用次数: 0
Evaluation of open-source SAR-based flood datasets for flood extent mapping in emergency settings 评估基于开源sar的洪水数据集,用于紧急情况下的洪水范围制图
IF 3.8 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2026-01-01 DOI: 10.1016/j.pdisas.2025.100507
Ira Karrel San Jose , Sesa Wiguna , Ryohei Kametaka , Bruno Adriano , Erick Mas , Shunichi Koshimura
The increasing frequency and severity of flood events, exacerbated by climate change, continue to threaten vulnerable communities worldwide, particularly in low-lying and coastal regions. Timely and accurate flood extent mapping is critical for supporting decision-making and resource allocation during disaster response operations. Advances in machine learning (ML) models, such as deep learning (DL), and the growing availability of Earth observation (EO) data have made automated inundation mapping more viable. However, the reliability of these models is highly dependent on the quality, diversity, and representativeness of the training datasets. Therefore, this study investigates several remote sensing flood datasets, both optical and synthetic aperture radar (SAR), to assess their applicability in emergency response settings. Based on the initial assessment and advantages of using SAR imagery in flood detection, the study evaluates five publicly available Sentinel-1 flood datasets using a DL segmentation model to determine their suitability for emergency response scenarios. Datasets with multi-temporal inputs and high-quality labels achieved superior F1 scores ranging from 0.844 to 0.959. To assess their ability to support emergency operations, the trained models were further tested on three independent flood disasters. While the datasets performed well on their test samples, their predictive accuracy declined substantially when applied to these new flood events, highlighting limitations in current dataset generalizability. The results emphasize that while segmentation models can achieve high accuracy in familiar sites, real-world applications require datasets that capture the heterogeneity of flood scenarios across different regions and conditions. An improved flood dataset design, incorporating multi-temporal and coherence data, a standardized preprocessing framework, and a broader flood geographic distribution, is significant in building reproducible and robust flood detection models.
气候变化加剧了洪水事件的日益频繁和严重程度,继续威胁着世界各地的脆弱社区,特别是在低洼地区和沿海地区。及时、准确的洪水范围测绘对于支持灾害应对行动中的决策和资源分配至关重要。深度学习(DL)等机器学习(ML)模型的进步,以及地球观测(EO)数据的日益可用性,使得自动绘制洪水地图变得更加可行。然而,这些模型的可靠性高度依赖于训练数据集的质量、多样性和代表性。因此,本研究调查了几种遥感洪水数据集,包括光学和合成孔径雷达(SAR),以评估它们在应急响应设置中的适用性。基于初步评估和在洪水检测中使用SAR图像的优势,该研究使用DL分割模型评估了五个公开可用的Sentinel-1洪水数据集,以确定它们对应急响应场景的适用性。具有多时间输入和高质量标签的数据集获得了更好的F1得分,范围为0.844 ~ 0.959。为了评估它们支持紧急行动的能力,在三个独立的洪水灾害中进一步测试了训练好的模型。虽然数据集在测试样本上表现良好,但当应用于这些新的洪水事件时,它们的预测精度大幅下降,突出了当前数据集泛化的局限性。研究结果强调,虽然分割模型可以在熟悉的地点实现高精度,但现实世界的应用需要能够捕捉不同地区和条件下洪水情景异质性的数据集。改进的洪水数据集设计,包括多时相和相干数据、标准化的预处理框架和更广泛的洪水地理分布,对于建立可复制和鲁棒的洪水探测模型具有重要意义。
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Progress in Disaster Science
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