Disaster management

灾害管理
  • 文章类型: Journal Article
    决策支持系统(DSS)已成为增强社区复原力的重要工具,因为它们能够为灾难相关问题提供及时有效的解决方案,同时反映不同利益相关者的观点并利用多种数据源。本文全面总结了DSS在社区弹性中的应用,强调如何在不同的灾害阶段使用不同的建模技术。我们发现优化技术是构建DSS最常用的方法。此外,我们发现DSS倾向于更多地关注灾难管理的准备和响应阶段,而不是恢复和缓解阶段。此外,这项研究强调了开发和实施复原力DSS的主要挑战,例如数据可用性,灾难背景的不确定性,以及跨学科合作的需要。根据审查的论文,我们为从业人员提供一些指导方针,以选择最适合其社区需求的决策支持工具。该研究旨在帮助决策者和研究人员建立有效的决策支持系统,以增强社区的适应力,考虑到当前的挑战。
    Decision Support Systems (DSS) have emerged as important tools for enhancing community resilience due to their ability to provide timely and efficient solutions to disaster-related problems while reflecting the perspectives of different stakeholders and utilizing multiple data sources. This paper provides a comprehensive summary of DSS applications to community resilience, emphasizing how the different modeling techniques are used in different disaster phases. We found that optimization techniques are the most frequently used methods for building DSS. Furthermore, we found that DSS tend to focus more on the preparedness and response phases of disaster management, rather than the recovery and mitigation phases. Moreover, the study highlights the main challenges in developing and implementing DSS for resilience, such as data availability, the uncertainty of the disaster context, and the need for cross-disciplinary collaboration. Based on the reviewed papers, we provide some guidelines to practitioners to select the most suitable decision-support tools for the needs of their community. The study aims to help decision-makers and researchers build effective decision support systems for enhancing community resilience, considering the current challenges.
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  • 文章类型: Journal Article
    目的:探讨灾难护理管理中护士胜任能力水平之间的关系。他们的备灾和备灾信念。
    背景:灾难护理管理中的护士能力使灾难响应变得更加容易。应该检查可能影响此原因的因素。
    方法:这项研究是在2023年4月至7月之间进行的,护士在土耳其一级地震区的一个省工作。该研究的样本包括总共207名护士,他们是从初级护士中选出的,次要,和三级护理机构,采用分层抽样的方法。数据是用个人信息表格收集的,灾难护理管理能力问卷,备灾量表,和一般备灾信念量表。Mann-WhitneyU和Kruskal-Wallis测试,Spearman回归系数,采用多元线性回归分析。
    结果:护士在职责和责任方面的能力水平与其备灾水平呈正相关。进行与灾害有关的培训也对职责和责任的能力水平产生了积极影响。对备灾的信念和对灾难的“部分”知识与能力无关。
    结论:根据国际护士理事会和当前有关灾难护理的研究,“能力领域”是优先学习的科目之一。
    结论:根据研究结果,备灾和与灾难相关的教育是护士与职责和责任相关的能力的有效因素。
    结论:这项研究的结果可能会提高医疗保健系统对护士灾难管理能力水平和可能影响其的因素的认识。建议在计划的举措和政策中考虑到备灾和与灾害有关的教育因素,以提高护士的职责和责任能力。
    OBJECTIVE: To examine the relationship between nurses\' competency levels in disaster nursing management, their disaster preparedness and disaster preparedness beliefs.
    BACKGROUND: Nurses\' competency in disaster nursing management makes disaster response easier. Factors that may affect this reason should be examined.
    METHODS: The study was conducted between April and July 2023 with nurses working in a province in the first-degree earthquake zone in Turkey. The sample of the study consisted of a total of 207 nurses who were selected from primary, secondary, and tertiary care institutions by using the stratified sampling method. Data were collected with a personal information form, the Competencies for Disaster Nursing Management Questionnaire, the Disaster Preparedness Scale, and the General Disaster Preparedness Beliefs Scale. Mann-Whitney U and Kruskal-Wallis tests, Spearman regression coefficient, and multiple linear regression analysis were used to analyze the data.
    RESULTS: There was a positive correlation between nurses\' competency levels regarding duties and responsibilities and their disaster preparedness levels. Having disaster-related training also positively affected the level of competence in duties and responsibilities. Belief in disaster preparedness and having \"partial\" knowledge about the disaster had no relationship with competencies.
    CONCLUSIONS: According to the International Council of Nurses and current studies on disaster nursing, \"competence areas\" are among the priority study subjects.
    CONCLUSIONS: According to the study results, disaster preparedness and having disaster-related education are effective factors in nurses\' competencies related to duties and responsibilities.
    CONCLUSIONS: The results of this study may increase awareness in the healthcare system about nurses\' disaster management competency levels and the factors that may affect this. It is recommended that disaster preparedness and disaster-related education factors should be taken into account in the initiatives and policies to be planned to improve the duty and responsibility competence of nurses.
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  • 文章类型: Journal Article
    背景跨国贩毒,政治动荡,帮派暴力,和准军事主义,在海地普遍存在,导致了更广泛的海地社区的心理健康危机。本研究通过男性和女性的生活经历,确定心理健康的障碍和促进者,探索海地和美国海地人的心理健康。方法2023年4月和11月进行的四次焦点小组讨论吸引了28名参与者(20名女性和8名男性),年龄在23至60岁之间,来自海地(太子港,引用Soleil,Cayes,Cap-Haitien,圣马克)和美国。讨论围绕心理健康的定义,压力源,应对机制,风险和保护因素,和心理保健的障碍。结果出现了六个主要主题:1-慢性创伤应激:持续暴力,政治不稳定,失业,缺乏社会支持,不利的童年经历,家庭分离,被迫流离失所是压力的重要来源。2-增加的健康负担:参与者报告经历了慢性身体和心理症状(即,高血压,焦虑,抑郁症,睡眠问题,药物滥用,自杀意念,创伤后应激障碍[PTSD]的特征),这归因于海地的社会,政治,基础设施崩溃。3-风险因素:获得心理健康服务的机会有限,无处不在的绝望,机会稀缺,和污名被确定为重大风险。4-未来不确定性:对未来的普遍担忧占主导地位。5-多代关注:关于儿童心理健康和发展的重大焦虑,以及心理健康从业者的功能,已注意到。6-应对和保护因素:有效的应对策略包括精神刺激,同行支持,管理数字消费,从事悠闲的活动,比如听音乐,和信仰/灵性。结论研究结果强调了海地的社会政治和经济危机,这导致了暴力和政治崩溃,教育,金融,和卫生基础设施。这些因素被确定为慢性痛苦的主要来源,导致广泛的心理健康问题,不良的身体症状,日常生活中的干扰。对实践的影响,愈合,研究和政策进行了讨论。
    UNASSIGNED: Transnational drug trafficking, political unrest, gang violence, and paramilitarism, which are pervasive in Haiti, have resulted in a mental health crisis for the broader Haitian community. This study explores the mental well-being of Haitians in Haiti and the United States by identifying barriers and facilitators to mental health through the lived experiences of men and women.
    UNASSIGNED: Four Focus group discussions conducted in April and November 2023 engaged 28 participants (20 women and eight men) aged between 23 and 60 years from locations in Haiti (Port-au-Prince, Cite Soleil, Cayes, Cap-Haitien, Saint-Marc) and the United States. Discussions revolved around the definition of mental health, stressors, coping mechanisms, risk and protective factors, and barriers to mental health care.
    UNASSIGNED: Six principal themes emerged: 1- Chronic Traumatic Stress: continued violence, political instability, unemployment, lack of social support, adverse childhood experiences, family separation, and forced displacement were significant sources of stress. 2- Increased Health Burden: Participants reported experiencing chronic physical and psychological symptoms (i.e., hypertension, anxiety, depression, sleep issues, substance abuse, suicidal ideations, characteristics of post-traumatic stress disorder [PTSD]), which were attributed to Haiti\'s social, political, and infrastructure collapse. 3- Risk Factors: limited access to mental health services, pervasive hopelessness, scarcity of opportunities, and stigma were identified as significant risks. 4- Future Uncertainty: widespread concerns regarding the future predominated. 5- Multigenerational Concerns: Significant anxiety concerning the mental health and development of children, as well as the functionality of mental health practitioners, was noted. 6- Coping and Protective Factors: Effective coping strategies include mental stimulation, peer support, managing digital consumption, engaging in leisurely activities, such as listening to music, and faith/spirituality.
    UNASSIGNED: The study\'s findings underscore the sociopolitical and economic crisis in Haiti, which has resulted in violence and a collapse of political, educational, financial, and health infrastructures. These factors were identified as the primary source of chronic distress, contributing to widespread mental health issues, adverse physical symptoms, and disruption in daily life. The implications for practice, healing, research & policy are discussed.
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  • 文章类型: Journal Article
    目标:COVID-19揭示了全球接受过急性和重症护理培训的医护人员(HCWs)的严重短缺,尤其是在低资源环境中。我们旨在评估大规模在线课程在准备HCWs以管理COVID-19患者方面的功效,并确定快速部署的电子学习是否可以在大流行期间增强他们的知识和信心。
    方法:回顾性队列研究。
    方法:这项国际回顾性队列研究,由大型学术医学中心(AMC)领导,是通过YouTube和AMC的在线学习平台进行的。从2020年到2021年,多学科专家根据最新的循证管理指南开发并部署了六个在线培训课程。在电子运动之后,通过自愿样本选择了参与者。使用测试前和测试后问卷评估培训结果,评估表格,和培训后评估调查。柯克帕特里克模型指导训练评估以衡量自我报告的知识,临床技能,和信心的提高。我们还捕获了培训后由HCWs管理的COVID-19患者的数量和类型。
    结果:每22.8次到达/印象和每1.2次参与导致课程注册。10425名注册人(56.8%为女性,43.1%的男性)代表154个城市的584个医疗机构。参与者中最大的部分是学生/实习生(20.6%)和医务人员(13.4%)。在2169名注册参加测试课程的参与者中,66.9%完成后测试。所有课程的测试分数从最初的基线到随后的改进课程后增加。完成培训后评估调查的参与者报告说,在线课程提高了他们的知识和临床技能(83.5%)和信心(89.4%)。受访者在参加课程后管理了19,720名COVID-19患者,47.7%的患者患有中度/重度疾病。
    结论:通过数字工具向大量目标人群快速部署大规模培训,增加了参与者处理COVID-19患者的信心。研究结果提出了一种虚拟的教育和评估模型,可以用于未来的全球公共卫生问题。以及未来电子运动的目标估计。
    OBJECTIVE: COVID-19 revealed major shortfalls in healthcare workers (HCWs) trained in acute and critical care worldwide, especially in low-resource settings. We aimed to assess mass online courses\' efficacy in preparing HCWs to manage COVID-19 patients and to determine whether rapidly deployed e-learning can enhance their knowledge and confidence during a pandemic.
    METHODS: Retrospective cohort study.
    METHODS: This international retrospective cohort study, led by a large Academic Medical Centre (AMC), was conducted via YouTube and the AMC\'s online learning platform. From 2020 to 2021, multidisciplinary experts developed and deployed six online training courses based on the latest evidence-based management guidelines. Participants were selected through a voluntary sample following an electronic campaign. Training outcomes were assessed using pre-and post-test questionnaires, evaluation forms, and post-training assessment surveys. Kirkpatrick\'s Model guided training evaluation to measure self-reported knowledge, clinical skills, and confidence improvement. We also captured the number and type of COVID-19 patients managed by HCWs after the trainings.
    RESULTS: Every 22.8 reach/impression and every 1.2 engagements led to a course registration. The 10,425 registrants (56.8% female, 43.1% male) represented 584 medical facilities across 154 cities. The largest segments of participants were students/interns (20.6%) and medical officers (13.4%). Of the 2169 registered participants in courses with tests, 66.9% completed post-tests. Test scores from all courses increased from the initial baseline to subsequent improvement post-course. Participants completing post-training assessment surveys reported that the online courses improved their knowledge and clinical skills (83.5%) and confidence (89.4%). Respondents managed over 19,720 COVID-19 patients after attending the courses, with 47.7% patients being moderately/severely ill.
    CONCLUSIONS: Participants\' confidence in handling COVID-19 patients is increased by rapidly deploying mass training to a substantial target population through digital tools. The findings present a virtual education and assessment model that can be leveraged for future global public health issues, and estimates for future electronic campaigns to target.
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  • 文章类型: Journal Article
    最近关于灾害管理和人道主义援助本地化的政策论述缺乏对文化的关注,历史,和全球南方的传统。本期灾难特刊认为,必须认识到动态,互动式,有争议,以及当地知识的协商性质。这种当地知识通过使响应者能够临时安置来拯救生命,一次性事件,如更广泛和更深层次的社区关系背景下的灾难,从而提供更适当和更有效的援助。通过中国的案例,Japan,印度尼西亚,菲律宾,本特刊使用由本地知识的三种表现形式组成的分析框架来研究这种动态的本地知识,即:社会资本;语境历史记忆;适应新思想。这三种表现形式显示了地方知识创造地方能力的方式,通过哪个地方,国家,国际灾难受访者可以集中他们的应对协调,反过来,展示本地能力如何重新制定本地知识。
    Recent policy discourse on the localisation of disaster management and humanitarian assistance lacks attention to the culture, history, and traditions of the Global South. This special issue of Disasters argues that it is imperative to recognise the dynamic, interactive, contested, and negotiated nature of local knowledge. Such local knowledge saves lives by enabling responders to situate ad hoc, one-off events such as disasters in the broader and deeper context of community relationships, thereby providing more appropriate and more effective aid. Through the cases of China, Japan, Indonesia, and the Philippines, this special issue examines such dynamic local knowledge using an analytical framework consisting of three manifestations of local knowledge, namely: social capital; contextual historical memories; and adaptation to new ideas. These three manifestations show the ways in which local knowledge creates local capacity, via which local, national, and international disaster respondents can centre their response coordination, and in turn, demonstrate how local capacity reformulates local knowledge.
    災害管理と人道支援の現地化に関する近年の政策議論には、アジア諸国を含むグローバル・サウスの文化、歴史、伝統への配慮が欠けている。本特集論文では、災害管理と人道支援のサイクルのすべての要素を分析する際に、ローカルナレッジの対話的でダイナミック、論争的、交渉的な性質を認識することが不可欠であることに関して議論する。これにあたり、本特集論文では、こうしたダイナミックなローカルナレッジを、社会資本、文脈記憶、新しいアイデアへの適応というローカルナレッジの3つの具現型を通じて包括的に検討する。これら3つの具現型は、ローカルナレッジが地域の力を生み出し、それをもとに地域、国、そして国際的な災害対応者がどのように対応調整を行うか、そして逆に、地域の力がローカルナレッジをどのように再形成するかを示している。.
    最近关于灾害管理和人道主义援助本地化的政策讨论缺乏对包括亚洲国家在内的全球南方国家的文化、历史和传统的关注。本期特刊指出,在分析灾害管理和人道主义援助周期的所有要素时,必须认识到当地知识的互动性、动态性、争议性和协商性。为此,本特刊通过地方知识的三种表现形式,即社会资本、情境记忆和对新思想的适应,对这种动态的地方知识进行了全面研究。这三种表现形式展示了地方知识如何创造地方能力,地方、国家和国际灾害应对人员可以以此为中心进行响应协调;反过来,也展示了地方能力如何重新形成地方知识。.
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  • 文章类型: Journal Article
    研究历史时期气候变化与人类社会互动的机制可以为该地区的气候政策建设提供历史见解和文化根源。在这项研究中,我们构建了稳定性-鲁棒性-弹性模型(SSR模型),并使用TOPSIS方法(通过相似于理想解的顺序偏好技术)和熵权法来评估鲁棒性的变化过程,弹性,明朝社会在应对气候威胁方面的稳定。我们还通过使用SRR模型比较了在社会稳健性-弹性组合的不同时期发生的三种极端干旱。结果如下。(1)永乐-洪志时期(公元1402-1505年)明代社会的稳定性很高,当社会稳健性和复原力都高于明代的平均水平时(前者为0.5611,后者为0.4215),但天顺时期(公元1457-1464年)社会稳定性显著下降。在正德-崇镇时期(公元1506-1644年),明朝社会的稳定性逐渐下降,它在龙庆-万里时期(公元1506-1620年)很快反弹。(2)高度稳定得益于更高的社会经济水平,更好的政府财政水平,更大的国家粮食储备,更安全的社会环境(高鲁棒性),以及更高水平的统治阶级治理和风险应对(高复原力);而战争引发的不安全的社会环境,社会经济水平和政府财政水平的下降是社会稳定性下降的主要原因。(3)成华和万里旱情都发生在社会稳健性较高的时期,所以尽管他们的气象异常很严重,他们对社会的影响很小。而嘉靖旱灾发生在社会稳健性和韧性较低的时期,所以尽管气象异常相对较弱,它导致了比其他两个事件更严重的社会后果。
    Studying the mechanisms by which climate change interacted with human societies during the historical period can provide historical insights and cultural roots for climate policy building in the region. In this study, we constructed Stability-Robustness-Resilience Model (SSR model) and used the TOPSIS method (Technique for Order Preference by Similarity to Ideal Solution) and the entropy weight method to assess the change processes of robustness, resilience, and stability of Ming\'s society in response to climate threats. We have also compared three extreme droughts that occurred in different periods of social robustness-resilience combinations by using the SRR model. The results are as follows. (1) The stability of the Ming society was high in YongLe - HongZhi period (1402-1505 CE), when both social robustness and resilience were higher than the average level of Ming Dynasty (0.5611 for the former and 0.4215 for the latter), but there was a significant decline in social stability in TianShun period (1457-1464 CE). In ZhengDe - ChongZhen period (1506-1644 CE), the stability of Ming society gradually decreased, and it rebounded shortly in the LongQing-WanLi period (1506-1620 CE). (2) The high stability benefited from higher socio-economic levels, better government finance levels, larger national food reserves, safer social environments (high robustness), and higher levels of ruling class governance and risk response (high resilience); whereas insecure social environment induced by war, declining socio-economic levels and government finance levels were the main reasons for the decline in society\'s stability. (3)The ChengHua and WanLi droughts both happened at a time with high social robustness, so although their meteorological anomalies were severe, their impact on society was small. While the JiaJing drought happened at a time with low social robustness and resilience, so although the meteorological anomaly was relatively weak, it resulted in a more severe social consequence than the other two events.
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  • 文章类型: Journal Article
    政府和社区在灾害管理方面的合作已被证明可以创建减少灾害风险的举措。然而,实施这种合作在以治理二元论为特征的区域内提出了挑战。本研究旨在在二元论治理的背景下调查2019年冠状病毒病(COVID-19)的灾害管理系统,国家掌握行政控制的地方。传统权威(Adat)同时规范巴厘岛人类生活的各个方面,印度尼西亚。这项研究采用了定性的方法,数据是通过对10名举报人的深入采访收集的,3轮焦点小组讨论,和参与者的观察。研究结果表明,巴厘岛的二元论治理是通过对社区内部脆弱性的回应来体现的,Adat对抗州法律,以及在COVID-19响应期间国家行政部门和传统当局之间建立的沟通系统。
    这项研究强调了传统治理在提高社区抵御能力方面的重要作用,因为国家在应对COVID-19大流行方面的能力有限。尽管与国家利益冲突,传统政府在促进集体社区行动以解决脆弱性方面发挥着至关重要的作用。这项研究强调了在治理的二元论背景下,阿达人更多参与灾害管理的重要性,从缓解计划到准备,响应和恢复。这种参与有可能增强社区的复原力。
    Collaboration between government and communities in disaster management has been demonstrated to create disaster risk reduction initiatives. However, implementing such collaboration poses challenges within regions characterised by dualism in governance. This study aims to investigate the disaster management system for coronavirus disease 2019 (COVID-19) in the context of dualism governance, where the state holds administrative control. Traditional authority (Adat) simultaneously regulates various facets of human life in Bali, Indonesia. The study used a qualitative approach, and data were gathered through in-depth interviews with 10 informants, 3 rounds of focus group discussions, and participant observations. The findings reveal that the dualism governance in Bali is manifested through responses to vulnerabilities within the community, Adat versus state laws, and the communication systems established between state administrative and traditional authorities during the COVID-19 response.
    UNASSIGNED: This study highlights the significant role of traditional governance in enhancing community resilience amid the limitations of state capacity in handling the COVID-19 pandemic. Despite conflicting interests with the state, traditional government plays a crucial role in fostering collective community action to address vulnerabilities. The study underscores the importance of greater involvement of Adat actors in disaster management within the context of dualism in governance, spanning from mitigation planning to preparedness, response and recovery. This involvement has the potential to bolster community resilience.
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  • 文章类型: Journal Article
    有效的救济减少了自然灾害中的损失并保护了人们,比如地震。本研究提出了一种基于可持续性的数据驱动模型,同时考虑到危机前和危机后。实际数据用于在各种地震场景中验证模型。该研究解决了地震期间救灾物资的数量和分配问题。本研究分两个阶段进行:仿真和建模。模拟阶段的目的是估计不同情况下的救援物资数量。此外,在建模阶段,提出了一种基于数据的多目标模型,考虑到可持续性,尽量减少救援物资的缺乏,未经治疗的伤员人数,和供应链成本。使用动态仿真系统,在设计了地震对城市基础设施的影响结构之后,在不同的情况下研究了地震对重要动脉的作用和影响,并识别出风险程度较高的场景。结果显示,对救援物资的最高和最低需求与\"摩沙日断层\"和\"北德黑兰夜间断层\"情景有关,分别。
    Effective relief reduces damages and protects people during natural disasters, such as earthquakes. This research proposes a data-driven model based on sustainability, taking into account the pre and post-crisis simultaneously. Real data was used to validate the model in various earthquake scenarios. The study addresses questions regarding the amount and allocation of relief goods during earthquakes. This research is carried out in two phases: simulation and modeling. The purpose of the simulation phase is to estimate the number of relief goods in different scenarios. Additionally, in the modeling phase, a data-based multi-objective model is presented, considering sustainability, to minimize the lack of relief goods, the number of untreated wounded, and supply chain costs. Using the dynamic simulation system, and after designing the structure of the earthquake effects on urban infrastructure, the actions and effects of the earthquake on vital arteries are investigated in different scenarios, and scenarios with a higher degree of risk are identified. The results showed that the highest and lowest demands for relief goods were related to the \"Mosha-day fault\" and \"North Tehran-night fault\" scenarios, respectively.
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  • 文章类型: Journal Article
    快速全面评估洪水影响对于协助应急管理人员开展有效的救援行动至关重要。随着信息技术的进步,各种类型的传感器已被广泛用于及时评估洪水影响,因为它们能够提供快速的洪水影响信息。然而,传感器驱动的方法在提供全面的影响评估方面受到限制,因为传感器通常分布稀疏。在这项研究中,作者集成了从传感器获得的稀疏洪水影响信息和洪水影响区域的空间自相关,以实现快速全面的洪水影响评估。为了达到这样的目的,提出了一种系统的方法:(1)从稀疏分布的传感器中提取洪水影响信息;(2)基于洪水演变和地理原理对洪水影响区域的空间自相关建模;(3)通过梯度下降法学习空间自相关模型的参数;(4)根据稀疏感知的影响和建模的空间自相关推断传感器未覆盖区域的洪水影响。为了说明拟议的方法,我们研究了洪水对休斯顿高速公路的影响,飓风哈维期间的德克萨斯州。结果表明,空间自相关模型在推断相邻公路街区具有相同洪水影响的概率方面具有良好的泛化能力。与纯传感器驱动的方法相比,所提出的方法能够大大扩展洪水影响评估的覆盖范围,同时保持几乎相同的准确性。
    A rapid and comprehensive assessment of flood impacts is critical to assist emergency managers in conducting effective relief operations. With advances in information technologies, various types of sensors have been widely used to assess flood impacts promptly as they are capable of providing rapid flood impact information. However, sensor-driven approaches are limited in the provision of a comprehensive impact assessment as sensors are often sparsely distributed. In this research, the authors integrate the sparse flood impact information obtained from sensors and the spatial autocorrelation of flood-impacted areas, in order to achieve a rapid and comprehensive flood impact assessment. To achieve such a purpose, a systematic approach is proposed to (1) extract flood impact information from sparsely distributed sensors; (2) model the spatial autocorrelation of flood-impacted areas based on flood evolution and geography principles; (3) learn the parameters of the spatial autocorrelation model through a gradient descent method; (4) infer the flood impacts of sensor-uncovered areas based on the sparsely sensed impacts and the modeled spatial autocorrelation. To illustrate the proposed approach, we studied flood impacts on Highways in Houston, Texas during Hurricane Harvey. Results show that the spatial autocorrelation model presents a decent generalization capability in inferring the probability of neighboring highway blocks having the same flood impacts. Compared to purely sensor-driven approaches, the proposed approach is capable of greatly extending the coverage of flood impact assessment while maintaining the nearly same accuracy.
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  • 文章类型: Journal Article
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