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Proposing DAPP-MR as a disaster risk management pathways framework for complex, dynamic multi-risk.

ABSTRACT: Climate change impacts are increasingly complex owing to compounding, interacting, and cascading risks across sectors. However, approaches to support Disaster Risk Management (DRM) addressing the underlying (uncertain) risk driver interactions are still lacking. We tailor the approach of Dynamic Adaptive Policy Pathways (DAPP) to DAPP-MR to design DRM pathways for complex, dynamic multi-risk in multi-sector systems. We review the recent multi-hazard and multi-sector research to identify relevant aspects of multi-risk management frameworks and illustrate the suitability of DAPP-MR using a stylized case. It is found that rearranging the analytical steps of DAPP by introducing three iteration stages can help to capture interactions, trade-offs, and synergies across hazards and sectors. We show that DAPP-MR may guide multi-sector processes to stepwise integrate knowledge toward multi-risk management. DAPP-MR can be seen as an analytical basis and first step toward an operational, integrative, and interactive framework for short-to long-term multi-risk DRM.

SUBMITTER: Schlumberger J

PROVIDER: S-EPMC9579022 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature

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Proposing DAPP-MR as a disaster risk management pathways framework for complex, dynamic multi-risk.

Schlumberger Julius J Haasnoot Marjolijn M Aerts Jeroen J de Ruiter Marleen M

iScience 20220930 10

Climate change impacts are increasingly complex owing to compounding, interacting, and cascading risks across sectors. However, approaches to support Disaster Risk Management (DRM) addressing the underlying (uncertain) risk driver interactions are still lacking. We tailor the approach of Dynamic Adaptive Policy Pathways (DAPP) to DAPP-MR to design DRM pathways for complex, dynamic multi-risk in multi-sector systems. We review the recent multi-hazard and multi-sector research to identify relevant ...[more]

PMID: 36274936

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Project description:BackgroundVietnam is one of the countries most impacted by disasters in Asia- Pacific. Floods, droughts and storms are the most common catastrophes. These risks endanger millions of lives and create massive financial and production losses.ObjectiveThis study aims at reviewing the disaster risk management (DRM) system in Vietnam, identifying progress and challenges of this system, hence making recommendations for improving the system for better responding with natural hazards.MethodThe study uses PSR model (Pressure- State- Response) in combination with DRM management framework by United Nations Development Program (UNDP) to evaluate DRM system in Vietnam with 5 aspects: (i) DRM regulatory framework (ii) DRM organization (iii) DRM financial resources (iv) DRM integration in to plans at central and local levels (v) Disaster warning and education. The data collection consists of reviewing existing literature and interviewing key informants in DRM.ResultsDisasters is a serious threat to Vietnam's socio economic development. To respond, Vietnam has made many efforts including develop a comprehensive legal framework for DRM which Law on Disaster Prevention and Control takes the key role. Vietnam has also established a fairly well organized DRM system from the central to local levels. The financial sources for DRM are arranged from State budget and sources outside State budget. Vietnam has developed major policies for integrating DRM into development plans centrally and locally. The disaster information and warning system is being modernized with the integration of disaster education in training programs. Challenges in DRM are identified, including institutional, financial and information issues. In addition, Vietnam is facing the increase of disasters and extreme climate events due to climate change. Covid 19 and its socio-economic consequences also lead to a lack of resources for DRM. Economic development moreover results in the decline of ecosystem-based disaster mitigation works and put more pressures on DRM.RecommendationsIn the future, Vietnam should develop an information-sharing network between ministries, sectors, localities and NGOs to support the policy formulation process and enhance the coordination of multi-stakeholders. The country should also establish more proper funding allocation mechanisms to fulfill DRM's demands, especially for disaster preparedness and reconstruction phases.

Project description:PurposeTo assess the reproducibility of bone and soft-tissue pelvimetry measurements obtained from dynamic magnetic resonance (MR) imaging studies in primiparous women across multiple centers.Materials and methodsAll subjects prospectively gave consent for participation in this institutional review board-approved, HIPAA-compliant study. At six clinical sites, standardized dynamic pelvic 1.5-T multiplanar T2-weighted MR imaging was performed in three groups of primiparous women at 6-12 months after birth: Group 1, vaginal delivery with anal sphincter tear (n = 93); group 2, vaginal delivery without anal sphincter tear (n = 79); and group 3, cesarean delivery without labor (n = 26). After standardized central training, blinded readers at separate clinical sites and a blinded expert central reader measured nine bone and 10 soft-tissue pelvimetry parameters. Subsequently, three readers underwent additional standardized training, and reread 20 MR imaging studies. Measurement variability was assessed by using intraclass correlation for agreement between the clinical site and central readers. Acceptable agreement was defined as an intraclass correlation coefficient (ICC) of at least 0.7.ResultsThere was acceptable agreement (ICC range, 0.71-0.93) for eight of 19 MR imaging parameters at initial readings of 198 subjects. The remaining parameters had an ICC range of 0.13-0.66. Additional training reduced measurement variability: Twelve of 19 parameters had acceptable agreement (ICC range, 0.70-0.92). Correlations were greater for bone (ICC, >or=0.70 in five [initial readings] and eight of nine [rereadings] variables) than for soft-tissue measurements (ICC, >or=0.70 in three [initial readings] of 10 and four [rereadings] of 10 readings, respectively).ConclusionDespite standardized central training, there is high variability of pelvic MR imaging measurements among readers, particularly for soft-tissue structures. Although slightly improved with additional training, measurement variability adversely affects the utility of many MR imaging measurements for multicenter pelvic floor disorder research.

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Proposing DAPP-MR as a disaster risk management pathways framework for complex, dynamic multi-risk.

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Proposing DAPP-MR as a disaster risk management pathways framework for complex, dynamic multi-risk.

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