The pre-hospital emergency staff played a key role in transferring the injured patients to health centers. Usually, they reported changes in their decisions on the transfer of non-traumatic patients to hospitals. So, this study was aimed to explore the reasons for unnecessarily requesting an ambulance by non-traumatic patients after the acute responding-to-earthquake phase. This study was a qualitative study that data were analyzed by content analysis approach. Participants were eleven pre-hospital emergency technicians. Data were collected by three sessions of focus group discussion. Data analysis was led to emergence of a main theme: “feeling urgency due to turmoil and uncertainty.” This theme illustrates the basic approach of the inhabitants of the earthquake-stricken region when unnecessarily requesting an ambulance. This theme was derived from two main categories of “turbulent and uncertain conditions” and “psychological turmoil.” The category of “turbulent and uncertain conditions” was comprised of three subcategories: “unreliable care,” “inadequate facilities” and “turbulent living conditions.” The category of “psychological turmoil” was comprised of three subcategories: “psychological turmoil in survivors,” “healthcare providers deciding under pressure” and “turmoil in providing psychological and psychiatric services.” Ambulance dispatch may be unnecessarily performed owing to turbulent and unsure conditions and psychological turmoil in earthquake-stricken people and pre-hospital emergency staff. Providing earthquake-stricken people with psycho-medical services in their place of residence can significantly reduce the workload of pre-hospital emergency staff and consequently that of hospital staff and therefore save time and treatment costs and increase the quality of health services provided for the injured.
Modelling uncertainty can significantly affect the structural seismic reliability assessment. However, the limit state excursion due to this type of uncertainty may not be described by a Poisson process as it lacks renewal properties with the occurrence of each earthquake event. Furthermore, considering uncertainties related to ground motion representation by employing recorded ground motions together with modelling uncertainties is not a trivial task. Robust fragility assessment, proposed previously by the authors, employs the structural response to recorded ground motion as data in order to update prescribed seismic fragility models. Robust fragility can be extremely efficient for considering also the structural modelling uncertainties by creating a dataset of one-to-one assignments of structural model realizations and as-recorded ground motions. This can reduce the computational effort by more than 1 order of magnitude. However, it should be kept in mind that the fragility concept itself is based on the underlying assumption of Poisson-type renewal. Using the concept of updated robust reliability, considering both the uncertainty in ground motion representation based on as-recorded ground motion and non ergodic modelling uncertainties, the error introduced through structural reliability assessment by using the robust fragility is quantified. It is shown through specific application to an existing RC frame that this error is quite small when the product of the time interval and the standard deviation of failure rate is small and is on the conservative side. 相似文献
Knowledge of the effective impervious area (EIA) or the degree to which impervious surfaces are hydraulically connected to the drainage system is useful for improving hydrological and environmental models and assessing the effectiveness of green stormwater infrastructure in urban watersheds. The goal of this research is to develop a method to estimate EIA fraction in urban watersheds using readily available data. Since EIA is dependent on rainfall–runoff response and cannot be solely determined based on the physical characteristics of a watershed, the EIA is linked with the asymptotic curve number (CN), a watershed index that represents runoff characteristics. In order for the method to be applicable to ungauged watersheds, the asymptotic CN is predicted using land cover and soil data from 35 urban catchments in Minnesota and Texas, USA. Similar data from 11 other urban catchments in Wisconsin and Texas, USA, are used to validate the results. A set of runoff depth versus EIA fraction curves is also developed to assess the impact of EIA reduction on discharge from an urban watershed in land-use planning studies. 相似文献
Infiltration is the primary mechanism in green stormwater infrastructure (GSI) systems to reduce the runoff volume from urbanized areas. Soil hydraulic conductivity is most important in influencing GSI infiltration rates. Saturated hydraulic conductivity (Ksat) is a critical parameter for GSI design and post-construction performance. However, Ksat measurement in the field is problematic due to temporal and spatial variability and measurement errors. This review paper focuses on a comparison of methods for in-situ Ksat measurement and the causes of temporal and spatial variations of Ksat within GSI systems. Automated infiltration testing methods, such as the Modified Philip–Dunne (MPD) and SATURO infiltrometers, show promise for efficient Ksat measurements. Soil Ksat values can change over time and substantially vary throughout a GSI, which can be attributed to multiple factors, including but not limited to temperature changes, soil composition and properties, soil compaction level, plant root morphology and distribution, biological and macrofauna activities in the soil, inflow sediment characteristics, quality of infiltrating water, and measurement errors. There is evidence that infiltration rates in vegetated urban GSI systems are sustained given an appropriate GSI design, reasonable concentration of suspended sediments in the inflow runoff, and routine maintenance procedures. These observations indicate that clogging can be counteracted by processes that tend to increase the soil hydraulic conductivity (e.g., plant root and biological activities). This self-sustainability underlines that infiltration-based GSI systems are a reliable long-term stormwater management solution. Recommendations on how to incorporate the temporal changes of Ksat in GSI design and on obtaining a spatially-representative Ksat for the GSI design are presented. 相似文献
Crossing the flood on foot is one of the two major causes of flood-related death. This study was aimed to determine risk factors associated with risky behavior of crossing the flood on foot and modeling behavior of people when exposed to the flood. Data were gathered by a questionnaire in Quchan, a city of Iran. People with the age of 18–35 years old, those who do not take flood warnings seriously, individuals who do not have experience of exposure to flood and those who believe they have moderate to advanced level of swimming skills were identified as high risk groups. Appropriate group training programs can be set for them to reduce risky behavior of crossing the flood on foot. 相似文献