31 research outputs found

    Author response to: Cardiovascular risk factors in offspring exposed to gestational diabetes mellitus in utero: systematic review and meta-analysis

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    Letter to the EditorThis commentary is an author response to Yu and colleagues regarding the manuscript entitled ‘Cardiovascular risk factors in offspring exposed to gestational diabetes mellitus in utero: Systematic review and meta-analysis’. We address their concern regarding minor errors in our manuscript, our search strategy and assessment of heterogeneity.Maleesa M. Pathirana, Zohra S. Lassi, Claire T. Roberts, and Prabha H. Andraweer

    Flexibility in adaptation planning: When, where and how to include flexibility for increasing urban flood resilience

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    The magnitude and urgency of the need to adapt to climate change is such that addressing it has been taken up by the United Nations as one of the sustainable development goals - Goal 13 (SDG13) in 2015. SDG13 emphasises the need to strengthen resilience and adaptive capacity to climate related hazards and natural disasters. Coping with urban floods is one of the major needs of climate adaptation, where integration of climate change responses into flood risk management policies, strategies and planning at international, national, regional and local levels is now the norm. However, much of this integration lacks effectiveness or real commitment from stakeholders involved in adaptation planning and implementation. Hence this research has focused on integrating flexibility based adaptation responses into an urban flood risk management context. The research has synthesised flexible adaptation practices from several disciplines including information technology, automobile and aerospace manufacturing. The outcomes of the research are brought together in a framework for structuring local adaptation responses and an adaptation planning process based on flexibility concepts. The outcomes provide a way to assist with the identification of the appropriate nature and type of flexibility required; where flexibility can best be incorporated; and when is the most appropriate time to implement the flexible adaptation responses in the context of urban flooding.Dissertation submitted in fulfilment of the requirements of the Board for Doctorates of Delft University of Technology and of the Academic Board of the UNESCO-IHE Institute for Water Education.Hydraulic Structures and Flood Ris

    Development of an Efficient Modelling Approach to Support Economically and Socially Acceptable Flood Risk Reduction in Coastal Cities: Can Tho City, Mekong Delta, Vietnam

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    Flooding is one of the most frequently occurring and damaging natural disasters worldwide. Quantitative flood risk management (FRM) in the modern context demands statistically robust approaches (e.g. probabilistic) due to the need to deal with complex uncertainties. However, probabilistic estimates often involve ensemble 2D hydraulic model runs resulting in large computational costs.Additionally, modern FRM necessitates the involvement of a broad range of stakeholders via co-design sessions. This makes it necessary for the flood models, at least at a simplified level, to be understood by and accessible to non-specialists.This study was undertaken to develop a flood modelling system that can provide rapid and sufficiently accurate estimates of flood risk within a methodology that is accessible to a wider range of stakeholders for a coastal city – Can Tho city, Mekong Delta, Vietnam.A web-based hydraulic tool, Inform, was developed based on a simplified 1D model for the entire Mekong Delta, flood hazard and damage maps, and estimated flood damages for the urban centre of Can Tho city (Ninh Kieu district), containing the must-have features of a co-design tool (e.g. inbuilt input library, flexible options, easy to use, quick results, user-friendly interface). Inform provides rapid flood risk assessments with quantitative information (e.g. flood levels, flood hazard and damage maps, estimated damages) required for co-designing efforts aimed at flood risk reduction for Ninh Kieu district in the future.Hydraulic Structures and Flood Ris

    Instant flood risk modelling (Inform) tool for co-design of flood risk management strategies with stakeholders in Can Tho city, Vietnam

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    Flood risk reduction strategies play an important role in flood risk management (FRM) and these strategies are being co-designed with the engagement of the stakeholder through multiple consultations and co-designing sessions. Effective participation of stakeholders in interactive work sessions requires fast and accurate modeling systems with a user-friendly interface, which can simulate the impact due to various flood reduction measures selected by the stakeholders and also generate outputs that can be understood by all stakeholders, especially those who are not FRM specialists. Presenting an easy-to-understand tool with easy inputs and outputs for a variety of stakeholders and at the same time providing reliable and accurate results for a range of scenarios and interventions is a challenge. Seven requirements that are essential for a user-friendly flood risk tool were used to develop an instant flood risk modeling tool. This paper presents a web-based hydraulic tool, i.e., instant flood risk model (Inform), to support FRM in the urban center of Can Tho city (Ninh Kieu district), Mekong Delta, Vietnam. Inform was developed based on (i) a simplified 1D model for the entire Mekong Delta; and (ii) flood hazard and damage maps, and estimated flood damage for Ninh Kieu district in Can Tho city obtained directly from the 1D/2D coupled model for Ninh Kieu district. Inform rapidly generates flood levels, flood hazard and damage maps, estimated damages. Pilot testing with experts confirmed that Inform qualifies as a reliable co-design tool for developing FRM strategies as it features an inbuilt input library, comprises flexible options, easy to use, produces quick results and has a user-friendly interface. With the help of an interactive web-based tool such as Inform presented here, it is possible to co-design FRM strategies for Can Tho or any other city that is subject to flood risk.Hydraulic Structures and Flood RiskUrban Desig

    A preliminary study on the impact of landscape pattern changes due to urbanization: Case study of Jakarta, Indonesia

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    Urbanization is changing land use–land cover (LULC) transforming green spaces (GS) and bodies of water into built-up areas. LULC change is affecting ecosystem services (ES) in urban areas, such as by decreasing of the water retention capacity, the urban temperature regulation capacity and the carbon sequestration. The relation between LULC change and ES is still poorly examined and quantified using actual field data. In most ES studies, GS is perceived as lumped areas instead of distributed areas, implicitly ignoring landscape patterns (LP), such as connectivity and aggrega-tion. This preliminary study is one of the first to provide quantitative evidence of the influence of landscape pattern changes on a selection of urban ecosystem services in a megacity as Jakarta, In-donesia. The impact of urbanization on the spatiotemporal changes of ES has been identified by considering connectivity and aggregation of GS. It reveals that LP changes have significantly de-creased carbon sequestration, temperature regulation, and runoff regulation by 10.4, 12.4, and 11.5%, respectively. This indicates that the impact of GS on ES is not only determined by its area, but also by its LP. Further detailed studies will be needed to validate these results.Hydraulic Structures and Flood Ris

    The sensitivity of urban heat island to urban green space-A model-based study of City of Colombo, Sri Lanka

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    Urbanization continues to trigger massive land-use land-cover change that transforms natural green environments to impermeable paved surfaces. Fast-growing cities in Asia experience increased urban temperature indicating the development of urban heat islands (UHIs) because of decreased urban green space, particularly in recent decades. This paper investigates the existence of UHIs and the impact of green areas to mitigate the impacts of UHIs in Colombo, Sri Lanka, using UrbClim, a boundary climate model that runs two classes of simulations, namely urbanization impact simulations, and greening simulations. The urbanization impact simulation results show that UHIs spread spatially with the reduction of vegetation cover, and increases the average UHI intensity. The greening simulations show that increasing green space up to 30% in urban areas can decrease the average air temperature by 0.1 °C. On the other hand, converting entire green areas into urban areas in suburban areas increases the average temperature from 27.75 °C to 27.78 °C in Colombo. This demonstrates the sensitivity of UHI to vegetation cover in both urban and suburban areas. These seemingly small changes are average grid values and may indicate much higher impacts at sub-grid levels.Hydraulic Structures and Flood Ris

    Changing Urban Temperature and Rainfall Patterns in Jakarta: A Comprehensive Historical Analysis

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    The increasing global population and in-country migration have a significant impact on global land use land cover (LULC) change, which reduces green spaces and increases built-up areas altering the near-surface radiation and energy budgets, as well as the hydrological cycle over an urban area. The LULC change can lead to a combination of hazards such as increasing urban temperatures and intensified rainfall, ultimately resulting in increased flooding. This present study aims to discuss the changing pattern in urban temperature, daily rainfall, and flooding in Jakarta. The daily urban temperature and daily rainfall were based on a 30-year dataset from three meteorological stations of Jakarta in the period between 1987 and 2013. The changing trend was analyzed by using the Mann–Kendall and the Pettitt’s tests. The relation between daily rainfall and flooding was analyzed using a 30-year flooding dataset collected from several sources including the international disaster database, research, and newspaper. The results show that there was an increasing trend in the daily temperature and the daily rainfall in Jakarta. The annual maximum daily temperature showed that an increasing trend started in 2001 at the KMY station, and in 1996 at the SHIA station. In general, the highest annual maximum daily temperature was about 37 °C, while the lowest was about 33 °C. Moreover, the maximum daily rainfall started increasing from 2001. An increase in the maximum daily rainfall was observed mainly in January and February, which coincided with the flood events recorded in these months in Jakarta. This indicates that Jakarta is not only vulnerable to high urban temperature but also to flooding. While these two hazards occur in distinct timeframes, there is potential for their convergence in the same geographical area. This study provides new and essential insights to enhance urban resilience and climate adaptation, advocating a holistic approach required to tackle these combined hazards.Hydraulic Structures and Flood RiskUrban Desig

    Including Information on Overdiagnosis in Shared Decision Making: A Review of Prostate Cancer Screening Decision Aids

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    Background. Overdiagnosis is an accepted harm of cancer screening, but studies of prostate cancer screening decision aids have not examined provision of information important in communicating the risk of overdiagnosis, including overdiagnosis frequency, competing mortality risk, and the high prevalence of indolent cancers in the population. Methods. We undertook a comprehensive review of all publicly available decision aids for prostate cancer screening, published in (or translated to) the English language, without date restrictions. We included all decision aids from a recent systematic review and screened excluded studies to identify further relevant decision aids. We used a Google search to identify further decision aids not published in peer reviewed medical literature. Two reviewers independently screened the decision aids and extracted information on communication of overdiagnosis. Disagreements were resolved through discussion or by consulting a third author. Results. Forty-one decision aids were included out of the 80 records identified through the search. Most decision aids (n = 32, 79%) did not use the term overdiagnosis but included a description of it (n = 38, 92%). Few (n = 7, 17%) reported the frequency of overdiagnosis. Little more than half presented the benefits of prostate cancer screening before the harms (n = 22, 54%) and only 16, (39%) presented information on competing risks of mortality. Only 2 (n = 2, 5%) reported the prevalence of undiagnosed prostate cancer in the general population. Conclusion. Most patient decision aids for prostate cancer screening lacked important information on overdiagnosis. Specific guidance is needed on how to communicate the risks of overdiagnosis in decision aids, including appropriate content, terminology and graphical display. Most patient decision aids for prostate cancer screening lacks important information on overdiagnosis. Specific guidance is needed on how to communicate the risks of overdiagnosis.Full Tex

    An effective modelling approach to support probabilistic flood forecasting in coastal cities-Case study: Can Tho, Mekong Delta, Vietnam

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    Probabilistic flood forecasting requires flood models that are simple and fast. Many of the modelling applications in the literature tend to be complex and slow, making them unsuitable for probabilistic applications which require thousands of individual simulations. This article focusses on the development of such a modelling approach to support probabilistic assessment of flood hazards, while accounting for forcing and system uncertainty. Here, we demonstrate the feasibility of using the open-source SWMM (Storm Water Management Model), focussing on Can Tho city, Mekong Delta, Vietnam. SWMM is a dynamic rainfall-runoffsimulation model which is generally used for single event or long-term (continuous) simulation of runoffquantity and quality and its application for probabilistic riverflow modelling is atypical. In this study, a detailed SWMM model of the entire Mekong Delta was built based on an existing ISIS model containing 575 nodes and 592 links of the same study area. The detailed SWMM model was then systematically reduced by strategically removing nodes and links to eventually arrive at a level of detail that provides sufficiently accurate predictions of water levels for Can Tho for the purpose of simulating urban flooding, which is the target diagnostic of this study. After a comprehensive assessment (based on trials with the varying levels of complexity), a much reduced SWMM model comprising 37 nodes and 40 links was determined to be able to provide a sufficiently accurate result while being fast enough to support probabilistic future flood forecasting and, further, to support flood risk reduction management.Hydraulic Structures and Flood Ris
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