Why Risk Factors Should Be Incorporated in Decision Models Regarding Coastal Hazard Management

Author(s):  
Douglas D. Ofiara ◽  
Norbert P. Psuty
2021 ◽  
Vol 13 (22) ◽  
pp. 12623
Author(s):  
Qianxin Su ◽  
Zhiqiang Li ◽  
Gaocong Li ◽  
Daoheng Zhu ◽  
Pengpeng Hu

The coasts of Guangdong-Hong Kong-Macao Greater Bay Area (GBA) are facing threats and challenges from rising sea levels, frequent extreme events and human intervention. In this study, the Coastal Hazard Wheel (CHW) was used to classify the coasts of GBA, assess its hazard change from 2010 to 2020, identify hazards hotspots and explore available coastal management options. The results show that the coastal types of GBA in 2010 and 2020 are consistent, with delta/low estuary island and hard rock slope as the main types. GBA is vulnerable to ecosystem disruption, saltwater intrusion, gradual inundation and flooding hazards. Compared with 2010, the high risk proportion of each hazard in 2020 decreased significantly, but the high risk of flooding increased slightly. All kinds of hazards are interdependent and influenced by each other. The Pearl River Estuary, the east bank of Yamen Waterway, the west bank of Huangmao Sea and Dapeng Bay show very high hazard vulnerability, and the flooding risk is the highest. Soft measures such as coastal zoning, tsunami warning systems, wetland restoration and hazard simulation are most widely used in coastal management. CHW is applicable to GBA’s coastal hazard vulnerability assessment, which provides a case study for coastal risk assessment of GBA and has certain reference significance for hazard management and sustainable development for the Bay Area.


2001 ◽  
Vol 13 (1) ◽  
pp. 1-24 ◽  
Author(s):  
Barbara A. Apostolou ◽  
John M. Hassell ◽  
Sally A. Webber ◽  
Glenn E. Sumners

In an exploratory study, we report how 140 auditors rate the relative importance of 25 risk factors (red flags) identified in SAS No. 82. The Analytic Hierarchy Process (AHP) is used to produce a decision model for each subject, and mean decision models are reported for groups of subjects. The results indicate that management characteristics and influence over the control environment red flags were approximately twice as important as operating and financial stability characteristics red flags and about four times as important as industry conditions red flags. The three single most important red flags account for almost 40 percent of the total decision weight. A particularly interesting finding is that the mean decision models of 43 Big 5 auditors, 50 regional/localfirm auditors, and 47 internal auditors were not significantly different from each other.


2019 ◽  
Vol 133 (22) ◽  
pp. 2283-2299
Author(s):  
Apabrita Ayan Das ◽  
Devasmita Chakravarty ◽  
Debmalya Bhunia ◽  
Surajit Ghosh ◽  
Prakash C. Mandal ◽  
...  

Abstract The role of inflammation in all phases of atherosclerotic process is well established and soluble TREM-like transcript 1 (sTLT1) is reported to be associated with chronic inflammation. Yet, no information is available about the involvement of sTLT1 in atherosclerotic cardiovascular disease. Present study was undertaken to determine the pathophysiological significance of sTLT1 in atherosclerosis by employing an observational study on human subjects (n=117) followed by experiments in human macrophages and atherosclerotic apolipoprotein E (apoE)−/− mice. Plasma level of sTLT1 was found to be significantly (P<0.05) higher in clinical (2342 ± 184 pg/ml) and subclinical cases (1773 ± 118 pg/ml) than healthy controls (461 ± 57 pg/ml). Moreover, statistical analyses further indicated that sTLT1 was not only associated with common risk factors for Coronary Artery Disease (CAD) in both clinical and subclinical groups but also strongly correlated with disease severity. Ex vivo studies on macrophages showed that sTLT1 interacts with Fcɣ receptor I (FcɣRI) to activate spleen tyrosine kinase (SYK)-mediated downstream MAP kinase signalling cascade to activate nuclear factor-κ B (NF-kB). Activation of NF-kB induces secretion of tumour necrosis factor-α (TNF-α) from macrophage cells that plays pivotal role in governing the persistence of chronic inflammation. Atherosclerotic apoE−/− mice also showed high levels of sTLT1 and TNF-α in nearly occluded aortic stage indicating the contribution of sTLT1 in inflammation. Our results clearly demonstrate that sTLT1 is clinically related to the risk factors of CAD. We also showed that binding of sTLT1 with macrophage membrane receptor, FcɣR1 initiates inflammatory signals in macrophages suggesting its critical role in thrombus development and atherosclerosis.


2011 ◽  
Vol 21 (2) ◽  
pp. 59-62
Author(s):  
Joseph Donaher ◽  
Christina Deery ◽  
Sarah Vogel

Healthcare professionals require a thorough understanding of stuttering since they frequently play an important role in the identification and differential diagnosis of stuttering for preschool children. This paper introduces The Preschool Stuttering Screen for Healthcare Professionals (PSSHP) which highlights risk factors identified in the literature as being associated with persistent stuttering. By integrating the results of the checklist with a child’s developmental profile, healthcare professionals can make better-informed, evidence-based decisions for their patients.


2010 ◽  
Vol 20 (3) ◽  
pp. 76-83 ◽  
Author(s):  
Joseph Donaher ◽  
Tom Gurrister ◽  
Irving Wollman ◽  
Tim Mackesey ◽  
Michelle L. Burnett

Parents of children who stutter and adults who stutter frequently ask speech-language pathologists to predict whether or not therapy will work. Even though research has explored risk-factors related to persistent stuttering, there remains no way to determine how an individual will react to a specific therapy program. This paper presents various clinicians’answers to the question, “What do you tell parents or adults who stutter when they ask about cure rates, outcomes, and therapy efficacy?”


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