Predict&Prevent: the Use of a Personalised Early Warning Decision Support System to Predict and Prevent Acute Exacerbations of COPD

Author(s):  
Author(s):  
ANDREAS DAMALAS ◽  
CHRISTODOULOS METTAS ◽  
EVAGORAS EVAGOROU ◽  
MARINOS PAPADOPOULOS ◽  
ALEXIA KONSTANTINOU ◽  
...  

2017 ◽  
Author(s):  
Davide Bertolo

Abstract. Operative geologists who are involved in emergency management have often to deal with the consequences of assuming critical and strongly impacting decisions in uncertain conditions. Geohazards induced by active landslides are one of the civil protection situations requiring such decisions. Nowadays, the monitoring of active landslides is almost always supported by numerical early warning systems, based on instrumental geotechnical and topographic networks. These networks provide numerical early warning thresholds, which are set up in order to activate alert conditions at various levels of criticality in an objective way. Despite these progresses the issue related to the possibility to dispatch false alerts has not yet effectively solved and that’s the reason why the critical stages of the decisional processes are frequently relying not only on quantitative thresholds but also on the subjective experience of the emergency managers. Therefore it is not so uncommon to read landslide-monitoring procedures that combine the quantitative information provided by the monitoring systems with the qualitative decisional elements coming from their professional experience in order to assume the most correct decision. It's therefore evident that such an approach weakens the objectiveness provided by instrumental monitoring systems but, at the same time, collecting geological empirical and qualitative data can strengthen an hypothesis like the one that an active landslide could finally collapse. Bayesian methods are frequently used in clinical decision making, another field of the human activity where critical decisions have to be made in a short time, combining objective values such as those provided by medical tests with diagnostic qualitative markers. Based on the methods of clinical diagnosis, the has author has elaborated a reliable and objective Bayesian Decision Support System (or DSS), developed to support the decision makers in assuming the most correct decisions based on all the elements, both quantitative and qualitative, that are available at a certain step of the decision process. Thanks to the Bayesian approach, the DSS allows also to assess the predictivity of any single decisional step, which is the probability that a monitored landslide actually collapses when particular diagnostic evidences are detected, either instrumental or observational. Hence the decision makers who are able to issue a civil protection alert when a given degree of confidence about the chance that a monitored landslide will collapse is reached. The degree of confidence associated to the civil protection alert can be declared in the alert bulletin (e.g.: 80 % or 93 %). The decisional process can be tracked and replied by everyone in complete transparency. It's therefore evident that such a DSS allows the civil protection authorities to increase the reliability of the alerts, reducing at the same time the so-called “cry wolf” effect and the discomfort related to evacuations and to other civil protection measures. As a matter of fact, the decisional process becomes clearer and the people’s trust in the civil protection systems is being strengthened by a more transparent emergency communication. The DSS here described is an evolution and a statistical improvement of the method adopted in 2013 and 2014 during the emergency of the Mont the la Saxe landslide, and is now being successfully applied to two other hazardous situations in the Aosta Valley Alps: the Brenva Site (Mont Blanc Massif) and the Berlachu site in the municipality of Lillianes (Lower Lys Valley).


2018 ◽  
Vol 134 ◽  
pp. 191-202 ◽  
Author(s):  
Annelies Bolle ◽  
Luciana das Neves ◽  
Steven Smets ◽  
Justine Mollaert ◽  
Saul Buitrago

2010 ◽  
Vol 10 (9) ◽  
pp. 1839-1850 ◽  
Author(s):  
T. Steinmetz ◽  
U. Raape ◽  
S. Teßmann ◽  
C. Strobl ◽  
M. Friedemann ◽  
...  

Abstract. An innovative newly developed modular and standards based Decision Support System (DSS) is presented which forms part of the German Indonesian Tsunami Early Warning System (GITEWS). The GITEWS project stems from the effort to implement an effective and efficient Tsunami Early Warning and Mitigation System for the coast of Indonesia facing the Sunda Arc along the islands of Sumatra, Java and Bali. The geological setting along an active continental margin which is very close to densely populated areas is a particularly difficult one to cope with, because potential tsunamis' travel times are thus inherently short. National policies require an initial warning to be issued within the first five minutes after an earthquake has occurred. There is an urgent requirement for an end-to-end solution where the decision support takes the entire warning chain into account. The system of choice is based on pre-computed scenario simulations and rule-based decision support which is delivered to the decision maker through a sophisticated graphical user interface (GUI) using information fusion and fast information aggregation to create situational awareness in the shortest time possible. The system also contains risk and vulnerability information which was designed with the far end of the warning chain in mind – it enables the decision maker to base his acceptance (or refusal) of the supported decision also on regionally differentiated risk and vulnerability information (see Strunz et al., 2010). While the system strives to provide a warning as quickly as possible, it is not in its proper responsibility to send and disseminate the warning to the recipients. The DSS only broadcasts its messages to a dissemination system (and possibly any other dissemination system) which is operated under the responsibility of BMKG – the meteorological, climatological and geophysical service of Indonesia – which also hosts the tsunami early warning center. The system is to be seen as one step towards the development of a "system of systems" enabling all countries around the Indian Ocean to have such early warning systems in place. It is within the responsibility of the UNESCO Intergovernmental Oceonographic Commission (IOC) and in particular its Intergovernmental Coordinating Group (ICG) to coordinate and give recommendations for such a development. Therefore the Decision Support System presented here is designed to be modular, extensible and interoperable (Raape et al., 2010).


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