scholarly journals Developing Community Disaster Resilience in Lembang Fault Area, Indonesia: Lessons Learned from Japanese Experience

2021 ◽  
Author(s):  
Rizqi Abdulharis ◽  
Alfita Puspa Handayani ◽  
Chikako Isouchi ◽  
Irwan Meilano
Keyword(s):  
Large Scale ◽  
Pilot Project ◽  
Lessons Learned ◽  
Structured Interviews ◽  
Economic Resilience ◽  
Government Interventions ◽  
Disaster Experience ◽  
Japanese Experience ◽  
Prone Area ◽  
High Government

Having experienced large-scale disasters between 2004 and 2006, the fatalities due to large-scale disasters in 2018 were still high. In contrast, disaster risk management (DRM) and CDR in Japan have been continuously improved. Thus, there is a need to develop CDR for supporting DRM in Indonesia by learning from the Japanese experience, particularly in a disaster-prone area without large-scale disaster experience. This research was a pilot project on the development of CDR in Indonesia. The case study was a geological hazard-prone Lembang Fault area. People’s perception was collected using structured interviews, while demographic and local economic data was acquired from official statistical publications. Satellite imageries were utilized to acquire natural and built environment and land use/land cover and their changes between 2019 and 2021. Although the degrees of social capital, risk knowledge including indigenous knowledge and past disaster experience were high, government interventions on DRM and land administration are required to develop CDR in Lembang Fault area. Organized community development is expected rather than to solely involve NGOs. Moreover, strategies to develop economic resilience are needed to allow the community to bounce back from future disaster. Finally, a detail baseline data should be collected to develop DRM strategy and CDR.

SMALL SCALE PILOT PROJECT AS A TOOL FOR PLANNING LARGE SCALE RESTORATION

2008 ◽  
Vol 2008 (1) ◽  
pp. 1163-1169
Author(s):  
Leslie J. Craig ◽  
Tom Pride
Keyword(s):  
Large Scale ◽  
Oyster Reef ◽  
Pilot Project ◽  
Lessons Learned ◽  
Small Scale ◽  
Pilot Studies ◽  
Restoration Project ◽  
Survival And Growth ◽  
Oyster Restoration

ABSTRACT The use of pilot studies can be a useful tool in determining the most appropriate location, method and design for a large scale restoration project. This paper provides a case study where Trustees implemented a small pilot project and feasibility study to determine the best approach for a large scale oyster reef creation project. While the specific case study is the result of a CERCLA settlement (Alafia River Acid Spill of 1997), this model is transferable to other instances where Trustees are scoping for the most appropriate sites and methods to conduct settlement funded restoration. The Restoration Plan and Environmental Assessment on which the case settlement was based called for creation of approximately 4 acres of oyster reef in addition to 4 acres of estuarine marsh restoration. Through an initial scoping process, the Trustees determined that more information was needed to select the most appropriate locations and techniques to implement the large scale oyster restoration project. The Trustees identified 3 general locations with potential for larger scale oyster reef creation. A portion of settlement funding was used to contract for construction and monitoring of an oyster reef pilot project to examine the efficacy of oyster reef construction at the three locations using 4 different cultch materials. At each of the locations, 4 small reefs (approximately 75’ × 20’) were constructed and monitored for spat set, oyster survival and growth as well as subsidence. A baseline construction report and final monitoring report detailed the results. In addition, a separate report was completed that outlined the feasibility of constructing a 4 acre oyster reef in Hillsborough Bay, FL. This report included several construction considerations such as local sources and costs of cultch materials, shipping/transport, staging areas, construction equipment as well as potential local contractors. This paper reports the results of the oyster pilot project and feasibility report as well as lessons learned from each approach.

scholarly journals P121: Understanding health equity: a pilot project to collect socio-demographic information on emergency department patients at registration

CJEM ◽  
2017 ◽  
Vol 19 (S1) ◽  
pp. S119
Author(s):  
S. Vaillancourt ◽  
M. McGowan ◽  
C. Semprun ◽  
P. Hannam ◽  
G. Bandiera ◽  
...  
Keyword(s):  
Emergency Department ◽  
Data Collection ◽  
Large Scale ◽  
Capture Rate ◽  
Tertiary Care ◽  
Participation Rate ◽  
Pilot Project ◽  
Patient Data ◽  
Structured Interviews ◽  
Number Of Patients

Introduction: There is strong evidence that socio-economic factors such as income, housing and ethnicity are linked to health outcome disparities for emergency department (ED) patients. However, lack of real-time patient data has limited our ability to identify, understand and address health disparities. During a 14-week period, we assessed the feasibility and acceptability of the systematic collection of patient-level equity data in a busy tertiary care urban ED. Methods: We assessed feasibility by directly observing impact on registration time, percentage of patients on which data was collected, and ambulance patient data collection. We also assessed acceptability to patients, registration staff and clinicians through structured interviews of patients systematically sampled, focus group and surveys of registration staff and survey of clinicians. Results: Over the course of the study, equity data was collected on 2017 patients. Capture rate peaked in week 7 with 51% of eligible patients offered the equity questions and 30% answering. Average patient registration time increased from 215 seconds to 345 seconds (60%). Data collection with ambulance patients did not appear feasible. Patients (n=30) reported being comfortable with most questions except income (47% comfortable). 93% believed it could improve health services. However, a small number of patients voiced concern that the data could result in discrimination. Registration staff required sustained support and engagement, but some continued to feel uncomfortable with offering the questionnaire to some patients. Conclusion: Large scale collection of equity data is feasible but requires additional resources and sustained staff and patient support. Patient participation rate is likely to remain relatively low and is likely to underestimate disadvantaged groups. Data collection at multiple points within an institution may improve capture rate.

Governing education in times of crisis: State interventions and school accountabilities during the COVID-19 pandemic

2021 ◽  
pp. 147490412110221
Author(s):  
Alison L. Milner ◽  
Paola Mattei ◽  
Christian Ydesen
Keyword(s):  
Large Scale ◽  
Institutional Logics ◽  
Future Research ◽  
Policy Reforms ◽  
Structured Interviews ◽  
Government Interventions ◽  
Professional Accountability ◽  
Wide Range ◽  
State Interventions ◽  
Modes Of Governance

Strategic government interventions in public education have shifted and blurred the boundaries between state, market and civil society modes of governance. Within this matrix of interdependent relations, schools operate under increasingly hybrid accountability arrangements in which public accountability can both complement and compete with market and social regimes and their associated institutional logics, goals, values and mechanisms. During the first wave of the COVID-19 pandemic, however, national governments implemented a wide range of emergency measures which had consequences for the mixes and layers of school accountabilities. This article examines the principal policy changes in Denmark, England and Italy. Drawing on state theories and the concept of ‘hybrid accountability’, semi-structured interviews with national and local policymakers and school practitioners were analysed thematically. While cultural nuances exist between the cases, our findings reveal that state interventions reinforce a public–professional accountability hybrid and hierarchies of control and command within and outside networks. Concomitantly, state non-interventions and the distinct underlying institutional logics associated with national large-scale assessments suggest policy inertia with implications for professional accountability and institutionalised change. Future research might investigate whether educators’ experiences influence the direction of national and local accountability policy reforms in a post-pandemic era.

TECHNOLOGY ASSESSMENT IN HOSPITALS: LESSONS LEARNED FROM AN EMPIRICAL EXPERIMENT

2017 ◽  
Vol 33 (2) ◽  
pp. 288-296 ◽  
Author(s):  
Emanuela Foglia ◽  
Emanuele Lettieri ◽  
Lucrezia Ferrario ◽  
Emanuele Porazzi ◽  
Elisabetta Garagiola ◽  
...  
Keyword(s):  
Technology Assessment ◽  
Large Scale ◽  
Quantitative Information ◽  
Lessons Learned ◽  
Hospital Level ◽  
Structured Interviews ◽  
Lombardy Region ◽  
Quantitative Metrics ◽  
Italian Context ◽  
Empirical Experiment

Objectives: Hospital Based Health Technology Assessment (HBHTA) practices, to inform decision making at the hospital level, emerged as urgent priority for policy makers, hospital managers, and professionals. The present study crystallized the results achieved by the testing of an original framework for HBHTA, developed within Lombardy Region: the IMPlementation of A Quick hospital-based HTA (IMPAQHTA). The study tested: (i) the HBHTA framework efficiency, (ii) feasibility, (iii) the tool utility and completeness, considering dimensions and sub-dimensions.Methods: The IMPAQHTA framework deployed the Regional HTA program, activated in 2008 in Lombardy, at the hospital level. The relevance and feasibility of the framework were tested over a 3-year period through a large-scale empirical experiment, involving seventy-four healthcare professionals organized in different HBHTA teams for assessing thirty-two different technologies within twenty-two different hospitals. Semi-structured interviews and self-reported questionnaires were used to collect data regarding the relevance and feasibility of the IMPAQHTA framework.Results: The proposed HBHTA framework proved to be suitable for application at the hospital level, in the Italian context, permitting a quick assessment (11 working days) and providing hospital decision makers with relevant and quantitative information. Performances in terms of feasibility, utility, completeness, and easiness proved to be satisfactory.Conclusions: The IMPAQHTA was considered to be a complete and feasible HBHTA framework, as well as being replicable to different technologies within any hospital settings, thus demonstrating the capability of a hospital to develop a complete HTA, if supported by adequate and well defined tools and quantitative metrics.

Reintegration, Community Building, and Revitalization: An Examination of the Community Arts and Reintegration Project

2019 ◽  
Vol 99 (4_suppl) ◽  
pp. 118S-134S
Author(s):  
Timothy J. Holler
Keyword(s):  
Restorative Justice ◽  
Large Scale ◽  
Community Building ◽  
Pilot Project ◽  
Lessons Learned ◽  
Community Arts ◽  
Community Members ◽  
Program Fidelity ◽  
Community Or

The Community Arts and Reintegration Project in Westmoreland County, Pennsylvania, is a community and restorative justice–based mural arts program. The program currently utilizes youth probationers in conjunction with community members and organizations to collaboratively cultivate and paint large-scale murals. Murals can develop in response to criminality that occurs in a community or in coordination with revitalization and community building efforts. This article examines the project’s development and implementation efforts following the completion of its first community mural. Lessons learned from the pilot project provide the basis for increasing program fidelity.

Experiences With and Lessons Learned From Developing, Implementing, and Evaluating a Support Program for Older Hearing Aid Users and Their Communication Partners in the Hearing Aid Dispensing Setting

2020 ◽  
Vol 29 (3S) ◽  
pp. 638-647 ◽  
Author(s):  
Janine F. J. Meijerink ◽  
Marieke Pronk ◽  
Sophia E. Kramer
Keyword(s):  
Large Scale ◽  
Hearing Aid ◽  
Critical Discussion ◽  
Lessons Learned ◽  
Research Note ◽  
Support Program ◽  
Large Sample Size ◽  
Long Term Effects ◽  
Communication Program ◽  
Communication Partners

Purpose The SUpport PRogram (SUPR) study was carried out in the context of a private academic partnership and is the first study to evaluate the long-term effects of a communication program (SUPR) for older hearing aid users and their communication partners on a large scale in a hearing aid dispensing setting. The purpose of this research note is to reflect on the lessons that we learned during the different development, implementation, and evaluation phases of the SUPR project. Procedure This research note describes the procedures that were followed during the different phases of the SUPR project and provides a critical discussion to describe the strengths and weaknesses of the approach taken. Conclusion This research note might provide researchers and intervention developers with useful insights as to how aural rehabilitation interventions, such as the SUPR, can be developed by incorporating the needs of the different stakeholders, evaluated by using a robust research design (including a large sample size and a longer term follow-up assessment), and implemented widely by collaborating with a private partner (hearing aid dispensing practice chain).

Optimizing electronic capture of patient-reported outcome measures in oncology clinical trials: lessons learned from a qualitative study

2020 ◽  
Vol 9 (17) ◽  
pp. 1195-1204
Author(s):  
Florence D Mowlem ◽  
Brad Sanderson ◽  
Jill V Platko ◽  
Bill Byrom
Keyword(s):  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Lessons Learned ◽  
Structured Interviews ◽  
Patient Reported ◽  
Oncology Clinical Trials ◽  
Anticancer Treatment ◽  
Fit For Purpose ◽  
The Impact ◽  
Electronic Implementation

Aim: To understand the impact of anticancer treatment on oncology patients’ ability to use electronic solutions for completing patient-reported outcomes (ePRO). Materials & methods: Semi-structured interviews were conducted with seven individuals who had experienced a cancer diagnosis and treatment. Results: Participants reported that the following would impact the ability to interact with an ePRO solution: peripheral neuropathy of the hands (4/7), fatigue and/or concentration and memory issues (6/7), where they are in a treatment cycle (5/7). Approaches to improve usability included: larger, well-spaced buttons to deal with finger numbness, the ability to pause a survey and complete at a later point and presenting the recall period with every question to reduce reliance on memory. Conclusion: Symptoms associated with cancers and anticancer treatments can impact the use of technologies. The recommendations for optimizing the electronic implementation of patient-reported outcome instruments in this population provides the potential to improve data quality in oncology trials and places patient needs at the forefront to ensure ‘fit-for-purpose’ solutions.

Lessons Learned From a Pilot Project on Telemedicine Advance Care Planning in an Urban Geriatric Primary Care Office

2021 ◽  
pp. 104990912110369
Author(s):  
Olivia M. Seecof ◽  
Molly Allanoff ◽  
John Liantonio ◽  
Susan Parks
Keyword(s):  
Primary Care ◽  
Pilot Study ◽  
Medical Record ◽  
Advance Care Planning ◽  
Pilot Project ◽  
Lessons Learned ◽  
Care Planning ◽  
Geriatric Population ◽  
Advance Care ◽  
Primary Care Office

Purpose: There is a dearth of literature regarding the documentation of advance care planning (ACP) in the geriatric population, despite the controversial, yet well-studied need for ACP. The purpose of this pilot study was to provide an update to a prior study from our institution that outlined the need for increased documentation of advance care planning (ACP) in an urban geriatric population. Methods: Our study involved using telemedicine to conduct dedicated ACP visits and an electronic medical record (EMR) note-template specifically designed for these visits in an attempt to increase the amount of documented ACP in the EMR in this population. Results: The study did not yield significant results due to the inability to schedule enough patients for these dedicated visits. Discussion: While our study was ultimately unsuccessful, 3 crucial lessons were identified that will inform and fuel future interventions by the authors to further the study of documentation of ACP.

scholarly journals The graph neural networking challenge

2021 ◽  
Vol 51 (3) ◽  
pp. 9-16
Author(s):  
José Suárez-Varela ◽  
Miquel Ferriol-Galmés ◽  
Albert López ◽  
Paul Almasan ◽  
Guillermo Bernárdez ◽  
...  
Keyword(s):  
Machine Learning ◽  
Computer Networks ◽  
Real World ◽  
Large Scale ◽  
Lessons Learned ◽  
Educational Resources ◽  
Global Competition ◽  
International Telecommunication Union ◽  
International Telecommunication ◽  
Broad Audience

During the last decade, Machine Learning (ML) has increasingly become a hot topic in the field of Computer Networks and is expected to be gradually adopted for a plethora of control, monitoring and management tasks in real-world deployments. This poses the need to count on new generations of students, researchers and practitioners with a solid background in ML applied to networks. During 2020, the International Telecommunication Union (ITU) has organized the "ITU AI/ML in 5G challenge", an open global competition that has introduced to a broad audience some of the current main challenges in ML for networks. This large-scale initiative has gathered 23 different challenges proposed by network operators, equipment manufacturers and academia, and has attracted a total of 1300+ participants from 60+ countries. This paper narrates our experience organizing one of the proposed challenges: the "Graph Neural Networking Challenge 2020". We describe the problem presented to participants, the tools and resources provided, some organization aspects and participation statistics, an outline of the top-3 awarded solutions, and a summary with some lessons learned during all this journey. As a result, this challenge leaves a curated set of educational resources openly available to anyone interested in the topic.

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