Towards dynamics in flood risk assessment

As a consequence of flood impacts, communities inhabiting mountain areas are increasingly affected by considerable damage to infrastructure and property. The design of effective flood risk mitigation strategies and their subsequent implementation is crucial for a sustainable development in mountain areas. The assessment of the dynamic evolution of flood risk is the pillar of any subsequent planning process that is targeted at a reduction of the expected adverse consequences of the hazard impact. Given these premises, firstly, a comprehensive method to derive flood hazard process scenarios for well-defined areas at risk is presented. Secondly, conceptualisations of a static and dynamic flood risk assessment are provided. These are based on formal schemes to compute the risk mitigation performance of devised mitigation strategies within the framework of economic cost-benefit analysis. In this context, techniques suitable to quantify the expected losses induced by the identified flood impacts are provided.

Family Preservation Journal, 1997, Volume 2, Issue 1. (Entire issue)

Entire issue (large pdf file) Articles include: What's Working in Family-Based Services?--or, What's Left to Believe in During a Time of Such Doubt? Roger Friedman The Family Preservation Philosophy and Therapy With Lesbian Clients. Pamela de Santa Parenting Pioneers and Parenting Teams: Strengthening Extended Family Ties in Family Support Programs. Susan Whitelaw Downs Conceptual Bases of the Planning Process in Family Preservation/Family Support State Plans. June Lloyd

Beamlet based direct aperture optimization for MERT using a photon MLC

PURPOSE A beamlet based direct aperture optimization (DAO) for modulated electron radiotherapy (MERT) using photon multileaf collimator (pMLC) shaped electron fields is developed and investigated. METHODS The Swiss Monte Carlo Plan (SMCP) allows the calculation of dose distributions for pMLC shaped electron beams. SMCP is interfaced with the Eclipse TPS (Varian Medical Systems, Palo Alto, CA) which can thus be included into the inverse treatment planning process for MERT. This process starts with the import of a CT-scan into Eclipse, the contouring of the target and the organs at risk (OARs), and the choice of the initial electron beam directions. For each electron beam, the number of apertures, their energy, and initial shape are defined. Furthermore, the DAO requires dose-volume constraints for the structures contoured. In order to carry out the DAO efficiently, the initial electron beams are divided into a grid of beamlets. For each of those, the dose distribution is precalculated using a modified electron beam model, resulting in a dose list for each beamlet and energy. Then the DAO is carried out, leading to a set of optimal apertures and corresponding weights. These optimal apertures are now converted into pMLC shaped segments and the dose calculation for each segment is performed. For these dose distributions, a weight optimization process is launched in order to minimize the differences between the dose distribution using the optimal apertures and the pMLC segments. Finally, a deliverable dose distribution for the MERT plan is obtained and loaded back into Eclipse for evaluation. For an idealized water phantom geometry, a MERT treatment plan is created and compared to the plan obtained using a previously developed forward planning strategy. Further, MERT treatment plans for three clinical situations (breast, chest wall, and parotid metastasis of a squamous cell skin carcinoma) are created using the developed inverse planning strategy. The MERT plans are compared to clinical standard treatment plans using photon beams and the differences between the optimal and the deliverable dose distributions are determined. RESULTS For the idealized water phantom geometry, the inversely optimized MERT plan is able to obtain the same PTV coverage, but with an improved OAR sparing compared to the forwardly optimized plan. Regarding the right-sided breast case, the MERT plan is able to reduce the lung volume receiving more than 30% of the prescribed dose and the mean lung dose compared to the standard plan. However, the standard plan leads to a better homogeneity within the CTV. The results for the left-sided thorax wall are similar but also the dose to the heart is reduced comparing MERT to the standard treatment plan. For the parotid case, MERT leads to lower doses for almost all OARs but to a less homogeneous dose distribution for the PTV when compared to a standard plan. For all cases, the weight optimization successfully minimized the differences between the optimal and the deliverable dose distribution. CONCLUSIONS A beamlet based DAO using multiple beam angles is implemented and successfully tested for an idealized water phantom geometry and clinical situations.

Measuring College Student Satisfaction: A Multi-Year Study of the Factors Leading to Persistence

Using Tinto's (1987) social integration theory as a framework, this study measured student satisfaction in six transformative areas: educational experience, skills development, faculty interaction, personal growth, sense of community, and overall expectations. Emerging as a strategic planning process priority, this project sought to identify those areas where students succeeded or were at risk. Employing a three-phase mixed methods approach, this descriptive, longitudinal study was conducted from 1990-2004 at a highly selective specialized college and assisted college administrators in developing or modifying programs that would enhance student satisfaction to ensure degree completion.

Get ur 60: A social marketing campaign to promote and facilitate physical activity among Central Texas middle school students

If allowed to continue unabated, the obesity epidemic may lead to the first decline in life expectancy in the developed world (Olshansky et al., 2005). Similar to the relationship between smoking habits in youth and adulthood, obesogenic dietary and physical activity habits in childhood may persist into adulthood (Kelder et al., 2002). Teaching children how to establish healthy eating habits and activity levels, as well as providing them the necessary resources to internalize and maintain these behaviors, may be the key to curbing this epidemic.^ A school-based obesity prevention approach is advantageous for many reasons including exposure to large captive audiences, reduced costs of sustainability and long-term maintenance, and generalizability of models and results across multiple populations. The effectiveness of school-based programs has been researched over the past 20 years, with promising results.^ Social marketing is a program-planning process that “facilitates the acceptance, rejection, modification, abandonment, or maintenance of particular behaviors” (Grier & Bryant, 2005). Social marketing has been shown to be effective in a variety of public health applications including improving diet, increasing physical activity, and preventing substance abuse. It is hypothesized that social marketing could further enhance the effectiveness of the Coordinated Approach To Child Health (CATCH) Central Texas Middle School Project, a school-based obesity prevention program.^ The development, implementation, and initial evaluation of the get ur 60 campaign, to promote the Center for Disease Control and Prevention (CDC) recommended sixty minutes of daily activity, is described in this paper. Various components of the get ur 60 campaign were assessed to evaluate the effectiveness of the campaign during the first semester of implementation. At the end of the spring semester focus groups were held to collect student reactions to the first semester of the get ur 60 campaign.^ The initial results from the first semester of get ur 60 have demonstrated that the campaign as designed was feasible to implement, accepted at all intervention schools, and resulted in a measure of success. ^

STRATEGIES FOR THE TRANSFER OF APPROPRIATE TECHNOLOGY TO DEVELOPING COUNTRIES: THE IMPLEMENTATION AND DEVELOPMENT OF ENVIRONMENTAL HEALTH PROGRAMS IN TUNISIA

This dissertation focuses on Project HOPE, an American medical aid agency, and its work in Tunisia. More specifically this is a study of the implementation strategies of those HOPE sponsored projects and programs designed to solve the problems of high morbidity and infant mortality rates due to environmentally related diarrheal and enteric diseases. Several environmental health programs and projects developed in cooperation with Tunisian counterparts are described and analyzed. These include (1) a paramedical manpower training program; (2) a national hospital sanitation and infection control program; (3) a community sewage disposal project; (4) a well reconstruction project; and (5) a solid-waste disposal project for a hospital.^ After independence, Tunisia, like many developing countries, encountered several difficulties which hindered progress toward solving basic environmental health problems and prompted a request for aid. This study discusses the need for all who work in development programs to recognize and assess those difficulties or constraints which affect the program planning process, including those latent cultural and political constraints which not only exist within the host country but within the aid agency as well. For example, failure to recognize cultural differences may adversely affect the attitudes of the host staff towards their work and towards the aid agency and its task. These factors, therefore, play a significant role in influencing program development decisions and must be taken into account in order to maximize the probability of successful outcomes.^ In 1969 Project HOPE was asked by the Tunisian government to assist the Ministry of Health in solving its health manpower problems. HOPE responded with several programs, one of which concerned the training of public health nurses, sanitary technicians, and aids at Tunisia's school of public health in Nabeul. The outcome of that program as well as the strategies used in its development are analyzed. Also, certain questions are addressed such as, what should the indicators of success be, and when is the time right to phase out?^ Another HOPE program analyzed involved hospital sanitation and infection control. Certain generic aspects of basic hospital sanitation procedures were documented and presented in the form of a process model which was later used as a "microplan" in setting up similar programs in other Tunisian hospitals. In this study the details of the "microplan" are discussed. The development of a nation-wide program without any further need of external assistance illustrated the success of HOPE's implementation strategies.^ Finally, although it is known that the high incidence of enteric disease in developing countries is due to poor environmental sanitation and poor hygiene practices, efforts by aid agencies to correct these conditions have often resulted in failure. Project HOPE's strategy was to maximize limited resources by using a systems approach to program development and by becoming actively involved in the design and implementation of environmental health projects utilizing "appropriate" technology. Three innovative projects and their implementation strategies (including technical specifications) are described.^ It is advocated that if aid agencies are to make any progress in helping developing countries basic sanitation problems, they must take an interdisciplinary approach to progrm development and play an active role in helping counterparts seek and identify appropriate technologies which are socially and economically acceptable. ^

Recommendations for dementia caregiver stress interventions based on Intervention Mapping guidelines

Stress can affect a person's psychological and physical health and cause a variety of conditions including depression, immune system changes, and hypertension (Alzheimer's Association, 2010; Aschbacher et al., 2009; Fredman et al., 2010; Long et al., 2004; Mills et al., 2009; von Känel et al., 2008). The severity and consequences of these conditions can vary based on the duration, amount, and sources of stress experienced by the individual (Black & Hyer, 2010; Coen et al., 1997; Conde-Sala et al., 2010; Pinquart & Sörensen, 2007). Caregivers of people with dementia have an elevated risk for stress and its related health problems because they experience more negative interactions with, and provide more emotional support for, their care recipients than other caregivers. ^ This paper uses a systematic program planning process of Intervention Mapping to organize evidence from literature, qualitative research and theory to develop recommendations for a theory- and evidence-based intervention to improve outcomes for caregivers of people with dementia. A needs assessment was conducted to identify specific dementia caregiver stress influences and a logic model of dementia caregiver stress was developed using the PRECEDE Model. Necessary behavior and environmental outcomes are identified for dementia caregiver stress reduction and performance objectives for each were combined with selected determinants to produce change objectives. Planning matrices were then designed to inform effective theory-based methods and practical applications for recommended intervention delivery. Recommendations for program components, their scope and sequence, the completed program materials, and the program protocols are delineated along with ways to insure that the program is adopted and implemented after it is shown to be effective.^

A avaliação ambiental estratégica como ferramenta ao planejamento e à gestão do território

Planned to be a process of early evaluation of Politics, Plans and Programs (PPPs), which interfere in the environment; the Strategic Environmental Assessment (SEA) suggests a methodology for planning and managing the land, which overcomes the limitations of the traditional plans that try to mitigate the environmental impacts of Projects, assuming a pro-active conception that incorporates the social and environmental aspects in the planning stage of the PPPs. This kind of Evaluation surpasses the existing limitations of the Environmental Impact Assessment (EIA), once the EIA happens after the planning process, when lots of decisions have been made and carried out. In order to overcome the limitations of EIA, the SEA is a strategic tool in the process of planning and managing the land. When we focus on the PPPs and not on the Projects, the SEA, which is more political than technical, priorizes the strategies that assure the integration of the environmental, social, economic and institutional aspects into the planning process, in private or public organizations. In this context, this work aims to establish the concept basis of the Strategic Environmental Evaluation as a tool for land planning and managing. The methodology procedures used here lie in the literature review concerning the SEA, analyzing how this tool can be introduced as an alternative for sustainable development. Although the SEA is a tool that introduces the sustainable development theme as a guiding principle of planning, it is seldom used by managers and decision makers, locally and nationally

Fragilidad de los espacios litorales : Lineamientos para comprender la erosión costera inducida en el litoral marítimo bonaerense. El caso de la localidad de Mar del Tuyú

El litoral atlántico bonaerense asiste en la actualidad a numerosas problemáticas ambientales, derivadas principalmente de un proceso de organización territorial que se ha llevado a cabo paralelamente al desarrollo y la creciente masificación de la actividad turística en nuestro país. La ausencia de un ordenamiento en cuanto al avance de la actividad, y el impacto que esta pudiera tener a futuro, avasallada por la lógica de acumulación de capital, han sido los factores desencadenantes de distintos conflictos, entre ellos la erosión costera. En el presente trabajo se hará un abordaje de la problemática en la localidad de Mar del Tuyú, cabecera del Partido de la Costa, enfatizando en indagar cómo se ha llevado a cabo el proceso de organización del espacio litoral, para intentar desentrañar las herencias territoriales que han inducido la problemática mencionada.

Fragilidad de los espacios litorales : Lineamientos para comprender la erosión costera inducida en el litoral marítimo bonaerense. El caso de la localidad de Mar del Tuyú

El litoral atlántico bonaerense asiste en la actualidad a numerosas problemáticas ambientales, derivadas principalmente de un proceso de organización territorial que se ha llevado a cabo paralelamente al desarrollo y la creciente masificación de la actividad turística en nuestro país. La ausencia de un ordenamiento en cuanto al avance de la actividad, y el impacto que esta pudiera tener a futuro, avasallada por la lógica de acumulación de capital, han sido los factores desencadenantes de distintos conflictos, entre ellos la erosión costera. En el presente trabajo se hará un abordaje de la problemática en la localidad de Mar del Tuyú, cabecera del Partido de la Costa, enfatizando en indagar cómo se ha llevado a cabo el proceso de organización del espacio litoral, para intentar desentrañar las herencias territoriales que han inducido la problemática mencionada.

A avaliação ambiental estratégica como ferramenta ao planejamento e à gestão do território

Planned to be a process of early evaluation of Politics, Plans and Programs (PPPs), which interfere in the environment; the Strategic Environmental Assessment (SEA) suggests a methodology for planning and managing the land, which overcomes the limitations of the traditional plans that try to mitigate the environmental impacts of Projects, assuming a pro-active conception that incorporates the social and environmental aspects in the planning stage of the PPPs. This kind of Evaluation surpasses the existing limitations of the Environmental Impact Assessment (EIA), once the EIA happens after the planning process, when lots of decisions have been made and carried out. In order to overcome the limitations of EIA, the SEA is a strategic tool in the process of planning and managing the land. When we focus on the PPPs and not on the Projects, the SEA, which is more political than technical, priorizes the strategies that assure the integration of the environmental, social, economic and institutional aspects into the planning process, in private or public organizations. In this context, this work aims to establish the concept basis of the Strategic Environmental Evaluation as a tool for land planning and managing. The methodology procedures used here lie in the literature review concerning the SEA, analyzing how this tool can be introduced as an alternative for sustainable development. Although the SEA is a tool that introduces the sustainable development theme as a guiding principle of planning, it is seldom used by managers and decision makers, locally and nationally

Fragilidad de los espacios litorales : Lineamientos para comprender la erosión costera inducida en el litoral marítimo bonaerense. El caso de la localidad de Mar del Tuyú

El litoral atlántico bonaerense asiste en la actualidad a numerosas problemáticas ambientales, derivadas principalmente de un proceso de organización territorial que se ha llevado a cabo paralelamente al desarrollo y la creciente masificación de la actividad turística en nuestro país. La ausencia de un ordenamiento en cuanto al avance de la actividad, y el impacto que esta pudiera tener a futuro, avasallada por la lógica de acumulación de capital, han sido los factores desencadenantes de distintos conflictos, entre ellos la erosión costera. En el presente trabajo se hará un abordaje de la problemática en la localidad de Mar del Tuyú, cabecera del Partido de la Costa, enfatizando en indagar cómo se ha llevado a cabo el proceso de organización del espacio litoral, para intentar desentrañar las herencias territoriales que han inducido la problemática mencionada.

A avaliação ambiental estratégica como ferramenta ao planejamento e à gestão do território

Planned to be a process of early evaluation of Politics, Plans and Programs (PPPs), which interfere in the environment; the Strategic Environmental Assessment (SEA) suggests a methodology for planning and managing the land, which overcomes the limitations of the traditional plans that try to mitigate the environmental impacts of Projects, assuming a pro-active conception that incorporates the social and environmental aspects in the planning stage of the PPPs. This kind of Evaluation surpasses the existing limitations of the Environmental Impact Assessment (EIA), once the EIA happens after the planning process, when lots of decisions have been made and carried out. In order to overcome the limitations of EIA, the SEA is a strategic tool in the process of planning and managing the land. When we focus on the PPPs and not on the Projects, the SEA, which is more political than technical, priorizes the strategies that assure the integration of the environmental, social, economic and institutional aspects into the planning process, in private or public organizations. In this context, this work aims to establish the concept basis of the Strategic Environmental Evaluation as a tool for land planning and managing. The methodology procedures used here lie in the literature review concerning the SEA, analyzing how this tool can be introduced as an alternative for sustainable development. Although the SEA is a tool that introduces the sustainable development theme as a guiding principle of planning, it is seldom used by managers and decision makers, locally and nationally

Mapping the visual landscape quality in Europe using physical attributes

he inclusion of environmental care data in the decision-making process should be based on the results obtained after scienti?cally evaluating different environmental variables. Herein, a European landscape geographic model is presented. This landscape map would allow the environmental care variable ?visual landscape?, along with other information related to vegetation, geology, soils, cultural variables, etc., to be integrated into the planning process. The methodology used is not new since it has already been tested in Spain by the authors. Nevertheless, the model was adapted to cope with the much more extensive territory of the European Union. This meant dealing with computational dif?culties, and a lack of information. The result of this work is a raster map (100 m cell size) that evaluates landscape quality in Europe by dividing the area into seven visual quality classes. This is a practical tool for territorial development that will facilitate the environmental assessment of plans, such as infrastructure plans, within a strategic pan-European framework.

Modelo de gestión por proyectos para el desarrollo local (MGPDL) en el marco de la nueva gestión pública. Aplicación a los distritos y barrios de la ciudad de Madrid

Esta investigación presenta un modelo de gestión para el ámbito público local enmarcado en la Nueva Gestión Pública que aboga por una gestión más eficaz, eficiente y transparente, y que pone el acento en la consideración del administrado como cliente y en las capacidades gerenciales y de liderazgo de los directivos públicos por encima de la función burocrática clásica. Asumiendo el concepto de comunidad política, en el que los ciudadanos y los gobernantes son corresponsables de la concertación política y social, y se pone en valor el conocimiento de la sociedad civil para la toma de decisiones, este modelo se expresa a través de un plan de acción para el desarrollo local que incorpora la estrategia empresarial “gestión por proyectos”, entendidos éstos como todos los proyectos que recogen las necesidades e ideas de los afectados, y que de alguna manera contribuyen al cambio o ayudan a transformar la realidad para la mejora de la calidad de vida. La realidad objeto de estudio que inspira este modelo es el primer plan de inversiones llevado a cabo en los distritos madrileños de Villaverde y Usera. Las características propias de este plan fueron la voluntad y la habilidad de los poderes públicos para transformar una movilización social reivindicativa en un proceso de planificación como aprendizaje social, integrando a los ciudadanos en un innovador sistema de gestión de responsabilidad compartida. El resultado fue considerado un éxito, ya que se cumplió el objetivo de reequilibrio social y económico de ambos distritos con el conjunto de la ciudad de Madrid, gracias a las infraestructuras y equipamientos construidos, y a los programas sociales implementados. De hecho, al concluir el plan, los problemas que originaron la movilización social apenas tenían relevancia: droga (5%), falta de equipamientos (3%) y baja calidad de vida (5%). A raíz del aprendizaje de esta experiencia desarrollada durante el período 1998‐ 2003, se construyó una metodología de actuación que se ha materializado en los actuales Planes especiales de actuación en distritos y Planes de Barrio de la ciudad de Madrid. Las evaluaciones realizadas hasta ahora determinan que se está logrando una homogeneización territorial en la oferta municipal de bienes, servicios y equipamientos públicos, lo que contribuye a una mayor equidad económica y social, en definitiva, a una mejor calidad de vida. ABSTRACT This research presents a management model for the public sector local framed in the New Public Management that advocates a public management more effective, efficient and transparent, and that puts the accent on the consideration of the citizen as client and in managerial and leadership skills of public managers over the classic bureaucratic function. Embracing the concept of political community, in which citizens and governments are jointly responsible for the political and social dialogue, and highlights the knowledge of the civil society to the decision‐making, this model is expressed through an action plan for local development that incorporates the business strategy "management by projects', understood these as all the projects that reflected the needs and ideas of those affected, and that in some way contribute to the change or help to transform the reality for the improvement of the quality of life. The reality which is subject of study and inspires this model is the first investment plan carried out in the districts of Madrid Villaverde and Usera. The characteristics of this plan were the will and the ability of the public authorities to transform a social mobilization in a planning process as social learning, integrating to citizens in an innovative system of management of shared responsibility. The result was considered a success, since the target was met for social and economic balance of the two districts with the whole of the city of Madrid, thanks to the built infrastructure and equipment, and the social programs implemented. In fact, at the end of the plan, the problems that led to the social mobilization had little relevance: drugs (5 %), lack of equipment (3 %) and low quality of life (5 %). As a result of learning from this experience developed during the period 1998‐ 2003, was built a methodology of performance which has been materialized in the current plans for special action in districts and plans of neighborhood of the city of Madrid. The evaluations conducted until now determine that the plans are achieving a territorial homogenization in the municipal supply of goods, services and public facilities, which contributes to a better economic and social equity, ultimately, to a better quality of life.