Risk Reduction Strategies Research Articles

Rapid transformation in aquatic food value chains in three Nigerian states

IntroductionNigeria is Africa’s most populous country, third largest fish producer, and second largest aquaculture producer. There have been numerous studies of aquaculture and fisheries in Nigeria, but no study to date has analyzed aquaculture and capture fisheries value chains together, while giving equal weight to all value chain segments and systematically capturing information on temporal trends in value chain structure, conduct, and performance. This paper does so.MethodsWe conducted a structured, qualitative, rapid reconnaissance survey of 180 actors from eight segments of the aquatic food value chain in three Nigerian states with contrasting geographies, Ebonyi, Kebbi, and Oyo.ResultsResults particularly important for future research and policy are as follows. (1) Partial vertical integration is a common feature of the organization of firms in all value chain segments, as a risk reduction strategy to overcome market imperfections and frictions. Scarcity and high cost of imported intermediate inputs is stimulating local innovation and import substitution manufacturing of feeds and fabricated items. (2) Inter-sectoral spillovers from the poultry industry have hastened the development of fish value chains, while improvements in power supply have enabled the expansion of cold storage capacity, facilitating the geographical lengthening of frozen fish value chains. (3) Rapid technological and/or institutional change is occurring in all value chain segments, including those usually viewed as traditional, such as processing and fishing. Logistics services are becoming more specialized and sophisticated, and digital communications technologies including social media play an increasingly important role in value chain coordination and marketing. (4) Increasing opportunity costs of time drive demand for convenience foods such as smoked and fried fish, which require little further preparation and can be stored at room temperature. Demand for farmed catfish is linked to growing consumption of food away from home at bars and restaurants. (5) Significant opportunities exist to improve the performance of value chains in terms of gender equity, environmental impacts, and food safety.

Asymmetric dimethylarginine correlates with indicators of prethrombotic state in patients with nonvalvular atrial fibrillation.

The mechanism of asymmetric dimethylarginine (ADMA) in thrombosis in patients with nonvalvular atrial fibrillation (NVAF) is still unclear. Our aim was to investigate the relationship between ADMA and indicators of prethrombotic state in NVAF patients and to analyze the predictive role of ADMA in NVAF thrombosis. A total of 192 NVAF patients were continuously selected from January 2023 to October 2023. Plasma ADMA levels were measured by high-performance liquid chromatography. P-selectin (P-sel), von Willebrand factor (vWF), D-dimer (D-D), and plasminogen activator inhibitor-1 (PAI-1) levels were measured by enzyme-linked immunosorbent assay (ELISA). Nitric oxide (NO) levels were measured by the nitrate reductase assay for plasma nitrite/nitrate, then the Griess method (Shanghai Hailian Biotechnology Co., Shanghai, China) was used to calculate plasma NO levels. In our study, ADMA levels were significantly elevated and positively correlated with P-sel, vWF, D-D, and PAI-1, whereas NO levels were significantly negatively correlated with these prethrombotic factors in NVAF. Furthermore, multifactorial logistic regression analysis showed that ADMA and LA diameter were independent predictors of high thrombosis risk (CHA2DS2-VASc ≥2 score) in patients with NVAF. Our findings suggested that ADMA correlated with the prethrombotic state in NVAF and that reduction of ADMA levels in NVAF patients may be a novel therapeutic strategy for thrombosis risk reduction.

26 Avoiding Death From Stimulant Toxicity: Resiliency Among People Who Use Stimulants

OBJECTIVES/GOALS: The project investigates the role that resiliency may play within individual, interpersonal, social, and structural contexts in protecting against acute lethal stimulant (meth/amphetamine or cocaine) toxicity. Identifying preventative factors is crucial in developing and implementing risk reduction strategies for people who use stimulants. METHODS/STUDY POPULATION: This is a qualitative study involving in-depth interviews via questionnaire assessing resiliency factors among persons living in San Francisco who have used primarily either meth/amphetamine or cocaine for at least 5 years. The interviews will be coded for salient and recurrent themes and analyzed for code frequency, cooccurrences, clustering of themes and representative excerpts to highlight emergent themes as well as stressors and resilience factors at multiple levels. We aim to assess for substance use patterns, multiple domains of resiliency, medical and psychiatric complaints, and risk reduction strategies. We will recruit participants to match recent decedents from acute stimulant toxicity in various domains including salient demographic information and neighborhood characteristics. RESULTS/ANTICIPATED RESULTS: The anticipated results include a qualitative interview guide for living persons using stimulants in San Francisco to be used to gain insight into the community, illustrate participants’ substance use practices, and allow for better characterization of several discrete resiliency factors that have protected the participants and other community members from suffering lethal stimulant toxicity. We expect to identify individual components (e.g. use patterns, use of harm reduction supplies), interpersonal/social factors (e.g. drug using network, friendships, community connection), and structural influences (e.g. access to care, safe use sites, house and economic stability) that all play a role in resiliency against lethal stimulant toxicity. DISCUSSION/SIGNIFICANCE: Stimulant use is common, along with rising deaths involving stimulants in urban counties and in smaller rural/non-metro counties which are disproportionately affected, posing a public health challenge. We will find discrete, modifiable risk and resiliency factors that can be manipulated to minimize the chances of outcomes like overdose and death.

Adaptive innovation and ethical dilemmas: a participatory action research study amongst cyclone-impacted households in Tamil Nadu, India

PurposeThis paper showcases how the PAR embedded in posthumanist perspectives enabled us to navigate several complexities in the field through methodological situatedness and pluralism. It also attempts to critically outline the drivers and barriers that shaped our capacities to engage with the PAR.Design/methodology/approachThe Tamil Nadu state in the Bay of Bengal along the southeast coast of India is one of the six regions in the world where severe tropical cyclones originate throughout the year. Storm surges in this region are well known for their destructive potential due to strong winds and heavy rainfall. This paper describes our participatory action research (PAR) journey towards strengthening grassroots action by providing access to safe and affordable housing for cyclone-impacted households (CIHs) in the Villupuram district of Tamil Nadu, India. The PAR was guided by an adaptive innovation model (AIM) that draws inspiration from posthumanism, action research and reflective practice traditions.FindingsThe insights from the PAR insist that we must recognise and work with diverse knowledge systems and situated practices to develop meaningful disaster risk reduction (DRR) and climate adaptation strategies. Our approach has to be rooted in the lived experiences of various vulnerable groups, their entanglements with nature and their everyday struggles of interacting with a complex social-ecological system.Originality/valueThis paper is an outcome of a PAR in a cyclone-impacted village in Tamil Nadu, India. The discussions and findings of the paper are original in nature and have not been published elsewhere.

The Differential Impact of Medical Therapy and Lifestyle Modification on Cardiovascular Health and Risk of Adverse Cardiovascular Events: A Narrative Review.

Cardiovascular diseases (CVDs) continueto be a worldwide health concern, requiring effective strategies for risk reduction. This article explores the extensive collaboration between medical therapy and lifestyle modifications in the management of CVDs, aiming to interpret whether a single approach holds the key to reducing major cardiovascular events. In the realm of pharmaceutical therapy, statins, beta-blockers, angiotensin-converting-enzyme (ACE) inhibitors, and antiplatelet agents have shown significant effectiveness, as evidenced by landmark trials such as Scandinavian Simvastatin Survival Study (4S) and Heart Outcomes Prevention Evaluation (HOPE). Concurrently, lifestyle adjustments, encompassing physical activity, dietary changes,and management of stress, emerge as indispensable elements in cardiovascular care. The article discusses the pivotal role of patient adherence, tailored approaches, and the synergistic impact of combining medical therapy and lifestyle modifications. Challenges, such as socioeconomic disparities and uncertainties in lipid management, underscore the need for ongoing research and precision medicine. Digital health interventions offer novel avenues for personalized care. Despite advancements, uncertainties persist regarding the optimal balance between medical and lifestyle interventions in lowering major cardiovascular event risks. This article emphasizes the ongoing evolution of cardiovascular care, highlighting the imperative need for evidence-based guidelines tailored to individual patient needs.

‘Door-to-prophylaxis’ as a novel quality improvement metric in prevention of venous thromboembolism following traumatic injury

ObjectiveVenous thromboembolism (VTE) risk reduction strategies include early initiation of chemoprophylaxis, reducing missed doses, weight-based dosing and dose adjustment using anti-Xa levels. We hypothesized that time to initiation of chemoprophylaxis...

Evaluation of the use of Training and Awareness and the Promotion of the Safe use, Handling, Application, Storage, and Disposal of Pesticides as a Risk Reduction Strategy to Pesticide Exposure: A Case Study with Farmers in Ruby, Parika and Naamryck Farming Communities in Guyana

Evaluation of the use of Training and Awareness and the Promotion of the Safe use, Handling, Application, Storage, and Disposal of Pesticides as a Risk Reduction Strategy to Pesticide Exposure: A Case Study with Farmers in Ruby, Parika and Naamryck Farming Communities in Guyana

Identifying children’s perception of interior space to the earthquake disaster: A case study of elementary school students in Jakarta

Earthquake disasters affected several physical damages and left traumatic experiences to sensitive groups, especially children. This kind of damage results in after-effect risks from the earthquake. Associated with this condition, the United Nation has published that the number of countries with disaster risk reduction strategies starting in 2015 should be increased. This research is aimed to identify children’s perceptions after the earthquake disaster through virtual settings. The framework used a literature review and a simulation of 3D virtual model testing on a group of elementary school students in Jakarta using a certain model type of room and aperture (window). Colour and window size are the main parameters for data showing the children’s preferences. Potential parameters are expected to be produced as guidance and recommendations on the post-disaster (earthquake-specific) in the future design decision. The parameters are aimed to help decision makers and designers to reach disaster risk reduction, in relation with SDGs on social aspect for the future sustainable development of resilient infrastructure, communities, and cities.

Utilizing the HEC-HMS Model for Hydrological Modelling of the Rambiara Watershed: Rainfall and Runoff Estimation

Abstract: Hydrological modelling and flood prediction are essential components of the Rambiara watershed's water resource management. To improve disaster preparedness and reduce the danger of flooding in the area, the effectiveness of the HEC HMS model in flood forecasting must be assessed. In this study, various techniques for estimating rainfall are examined, and a customized hydrological model tailored to the hydrological complexities of the Rambiara watershed is developed. The goal of this project is to provide practical insights for better flood risk reduction and water resource management through the integration of cutting-edge modelling tools and rigorous analysis. This work advances our knowledge of watershed dynamics and provides guidance for sustainable water resource planning projects in the Rambiara watershed and beyond by thoroughly examining precipitation patterns and hydrological processes. In addition, the research takes into account a number of factors related to flood behaviour, such as determining places that are vulnerable to flooding, analysing the size of floods, and estimating how frequently they occur. By taking a holistic approach, it is possible to gain a thorough understanding of the dynamics of flooding in the Rambiara watershed, which paves the way for the development of efficient flood risk management techniques. This study looks into the temporal and spatial variability of rainfall in the Rambiara watershed in addition to research on floods. Through the comparison of several methods for estimating rainfall, including deterministic and geostatistical approaches, the study offers valuable insights into the precision and dependability of rainfall data, which are essential for hydrological modelling and flood forecasting. The hydrological processes of the Rambiara watershed can be more accurately represented by creating a bespoke hydrological model with the HEC HMS program. Informed decision-making and proactive flood risk reduction strategies are made possible by the study's model calibration and validation, which guarantee the model's dependability in simulating runoff and forecasting flood events. Overall, this study advances our knowledge of flood dynamics in the Rambiara watershed and advances hydrological modelling tools. The goal of this study is to promote sustainability and resilience in the face of hydrological hazards by offering practical insights for managing water resources and reducing the danger of flooding.

Understanding The Role of SGLT2 Inhibitors in Cardiovascular Risk Reduction for Type 2 Diabetes Patients-A Literature Review

Introduction: Type 2 diabetes mellitus (T2DM) is associated with an increased risk of cardiovascular events and heart failure. Sodium-glucose cotransporter 2 (SGLT2) inhibitors have emerged as a novel class of antidiabetic agents with potential cardiovascular benefits. This systematic review aims to evaluate the impact of SGLT2 inhibitors on reducing cardiovascular events and heart failure hospitalizations in patients with T2DM. Aims: The review aims to comprehensively evaluate the impact of SGLT2 inhibitors on reducing cardiovascular events, including MACE, and HF hospitalizations in patients with T2DM. Methods: A comprehensive literature search was conducted in major electronic databases like PubMed, Google Scholar and Science Direct to identify relevant studies. Studies investigating the cardiovascular outcomes of SGLT2 inhibitors in T2DM patients were included. Data extraction and quality assessment were performed independently by three reviewers using predefined criteria. Results: A total of 17 studies met the inclusion criteria and were included in the review. The analysis of clinical trials, including EMPA-REG OUTCOME, CANVAS Program, and DECLARE-TIMI 58, demonstrated significant reductions in MACE and HF hospitalizations with SGLT2 inhibitors compared to placebo or standard care. Real-world evidence from studies such as the CVD-REAL and EASEL studies further supported these findings, showing consistent cardiovascular benefits of SGLT2 inhibitors in routine clinical practice. The findings suggest that SGLT2 inhibitors are associated with a reduction in cardiovascular events, including myocardial infarction, stroke, and cardiovascular mortality, as well as a decreased risk of heart failure hospitalizations in patients with T2DM. Conclusion: This systematic review provides evidence supporting the cardiovascular benefits of SGLT2 inhibitors in T2DM management. The findings underscore the importance of considering these agents as part of comprehensive cardiovascular risk reduction strategies in T2DM patients. Further research is necessary to explicate the mechanisms underlying these benefits and optimize their clinical use.

Flood risk evaluation of the coastal city by the EWM-TOPSIS and machine learning hybrid method

The frequent occurrence of floods and waterlogging has significantly impacted coastal cities. Effective mapping of flood risk can enhance the precision of disaster risk reduction strategies. However, there is room for improvement in fields such as flood inundation data, evaluation objectivity, and classification refinement. This study, using Xiamen as a case study, advanced flood inundation data accuracy by generating a frequency-based flood inundation map from multi-year remote sensing imagery. This study integrated the EWM-TOPSIS model with a neural network model to evaluate the flood risk. The EWM-TOPSIS model was employed to assess the flood vulnerability and flood exposure, while the multi-class neural network model to simulate the flood hazard. This combined approach reduced subjectivity in the flood risk assessment of Xiamen and achieved a finer level of risk classification compared to traditional binary neural networks. The results indicated that the flood vulnerable areas of Xiamen are concentrated along waterways distant from roads, with high flood exposure in Tong'an and Xiang'an districts. The flood-prone areas in Xiamen are primarily located along the coastal areas characterized by extensive impermeable surfaces. High flood risk areas are mainly distributed in Tong'an and Xiang'an subdistricts, particularly in Xiangping and Xindian. The method developed offers support for accurate flood risk identification and decision-making in cities with limited data resources.

Bayesian meta-analysis of penetrance for cancer risk.

Multi-gene panel testing allows many cancer susceptibility genes to be tested quickly at a lower cost making such testing accessible to a broader population. Thus, more patients carrying pathogenic germline mutations in various cancer-susceptibility genes are being identified. This creates a great opportunity, as well as an urgent need, to counsel these patients about appropriate risk-reducing management strategies. Counseling hinges on accurate estimates of age-specific risks of developing various cancers associated with mutations in a specific gene, ie, penetrance estimation. We propose a meta-analysis approach based on a Bayesian hierarchical random-effects model to obtain penetrance estimates by integrating studies reporting different types of risk measures (eg, penetrance, relative risk, odds ratio) while accounting for the associated uncertainties. After estimating posterior distributions of the parameters via a Markov chain Monte Carlo algorithm, we estimate penetrance and credible intervals. We investigate the proposed method and compare with an existing approach via simulations based on studies reporting risks for two moderate-risk breast cancer susceptibility genes, ATM and PALB2. Our proposed method is far superior in terms of coverage probability of credible intervals and mean square error of estimates. Finally, we apply our method to estimate the penetrance of breast cancer among carriers of pathogenic mutations in the ATM gene.

Cascade genetic testing for hereditary cancer syndromes: a review of barriers and breakthroughs.

Germline genetic sequencing is now at the forefront of cancer treatment and preventative medicine. Cascade genetic testing, or the testing of at-risk relatives, is extremely promising as it offers genetic testing and potentially life-saving risk-reduction strategies to a population exponentially enriched for the risk of carrying a cancer-associated pathogenic variant. However, many relatives do not complete cascade testing due to barriers that span individual, relationship, healthcare community, and societal/policy domains. We have reviewed the published research on cascade testing. Our aim is to evaluate barriers to cascade genetic testing for hereditary cancer syndromes and explore strategies to mitigate these barriers, with the goal of promoting increased uptake of cascade genetic testing.

Risk management in a clinical pathology laboratory: Application of brainstorming and probability analysis for risk reduction.

Risk management includes identifying various risks, assessing the probability of occurrence, and evaluating the severity of their consequences. As clinical laboratories are integrally involved in patient care, risks in the laboratories could present grave consequences in some instances. This study aimed to utilize simple techniques for risk management in a clinical laboratory. All potential risks in the pathology laboratory of a tertiary-level hospital were identified and classified into natural calamity, environmental, manpower-related, pre-analytical, analytical, post-analytical, and laboratory hazard-related risks through a brainstorming session. The probability of occurrence of each risk was estimated from departmental and hospital records. The possible impact of risk (score 1-10) was categorized into catastrophic, critical, serious, minor negligible, and insignificant. The unweighted risk score was calculated by multiplying the probability of occurrence and impact score. Inadequate sample-to-anticoagulant ratio had the highest probability of occurrence (22.85%), followed by quantity insufficient for analysis (7.30%) and laboratory information system (LIS) breakdown (6.58%). The highest unweighted risk score in our study was inadequate sample-to-anticoagulant ratio (score 91.40), followed by improperly labeled samples (score 35.61), manpower competency issues (score 32.88), sample insufficient for analysis (score 29.20), and LIS breakdown (score 26.30). We found that among all the categories, risks involving the pre-analytical phase had the highest risk scores. The other important risks included manpower competency issues requiring continued on-the-job training of staff as a risk reduction strategy. Brainstorming and probability analysis could be easily used for risk management in a clinical laboratory.

Unveiling and modelling the flood risk and multidimensional poverty determinants using geospatial multi-criteria approach: Evidence from Jigawa, Nigeria

Floods are recurring natural disasters that pose major challenges to communities worldwide, especially in regions where poverty is widespread. This research focuses on analysing the relationship between flood risk and poverty factors in Jigawa. It uses geospatial data, historical flood records and remote sensing to locate flood-prone areas. The integration of these data sets creates a comprehensive model for measuring flood-prone zones and their impact on multidimensional poverty. The flood risk zone included 3% and 13% as extremely high and high. In addition, 40% of the population is particularly vulnerable to flood disasters, leading to multidimensional poverty in the region. At the same time, poverty determinants such as agricultural activities, income level, education, access to health care, housing conditions, and road networks were analysed using statistical methods of principal component analysis (PCA). Findings from this research will go a long way toward understanding the complex interactions between natural disasters (flood) and poverty and will shed light on the mechanisms that perpetuate vulnerability in impoverished regions. By identifying the specific determinants of poverty that exacerbate the impact of flooding, this study provides evidence-based insights into possible avenues for targeted interventions and risk-reduction strategies. In addition, this study underscores the importance of using geospatial technology for disaster risk management and poverty alleviation. These findings will help policymakers and local authorities implement more efficient and adaptive disaster preparedness and response policies, thereby building the resilience of communities facing the intersecting challenges of poverty and flood risk.

Appraising competency gaps among UNESCO-designated heritage site actors in disaster risk reduction innovations

Communities residing in UNESCO-designated sites, characterised by outstanding universal values, face heightened vulnerability during disasters, necessitating innovative Disaster Risk Reduction (DRR) strategies. The critical role of well-equipped UNESCO site actors in DRR necessary for achieving the goals of broader international frameworks such as Agenda 2030 and the Sendai Framework for Disaster Risk Reduction (SFDRR) warrants this needs assessment study. This study uses a descriptive survey design to assess the competency gaps of UNESCO site actors, including managers and staff, for effective utilisation of DRR innovations (DRRI). Employing the Borich Needs Assessment Model and Ranked Discrepancy Model, an online questionnaire garnered 141 responses from 59 countries. Descriptive statistics, significance tests (at p < .05), correlation tests, Mean Weighted Discrepancy Scores, and Ranked Discrepancy Scores yielded noteworthy findings. Despite recognising the importance of DRRI, respondents demonstrated competence lags, emphasizing the need for tailored training programs. Competency gaps were identified across all 14 listed DRRI, with top priorities including disaster prevention radio, telemetry systems, unmanned aerial vehicles, GIS, remote sensing, resilient materials, and disaster risk insurance. Enhancing competencies in DRRI presents a strategic approach to bolstering disaster preparedness, management, and risk reduction efforts, aligning with global conservation and sustainability goals.

Risk Factors of Wound Dehiscence in Abdominal Surgery

Background: Wound dehiscence, a significant postoperative complication characterized by the partial or complete separation of a surgical wound, remains a challenge despite advances in surgical techniques and perioperative care. It is associated with increased morbidity, mortality, prolonged hospital stays, and higher healthcare costs. Understanding the risk factors that predispose patients to wound dehiscence is crucial for improving surgical outcomes. Objective: The aim of this study was to identify the patient-related and surgical factors that contribute to the risk of wound dehiscence in individuals undergoing abdominal surgery, in order to inform strategies for risk reduction and management. Methods: This prospective cohort study was conducted at the General Surgery Department of Hayatabad Medical Complex, Peshawar, Pakistan, from January 2021 to January 2023. A total of 150 patients who underwent elective or emergency abdominal surgery were included. Exclusion criteria encompassed individuals undergoing obstetric or gynecological procedures and those with a prior history of wound infection or dehiscence. Data on demographic characteristics, comorbidities, type of surgery, surgical approach, and postoperative outcomes were collected. Wound dehiscence was the primary outcome, identified clinically and confirmed by surgical review. Statistical analysis involved descriptive statistics, bivariate analyses using chi-square tests, with significance set at p ≤ 0.05. Results: The mean age of the study population was 45.6 ± 12.3 years, with 60% male and 40% female participants. Comorbidities included obesity (30%), diabetes mellitus (23.3%), hypertension (16.7%), cardiovascular disease (13.3%), and smoking (20%). Elective surgeries constituted 66.7% of cases, with gastrointestinal disorders being the most common indication (46.7%). The open surgical approach was utilized in 80% of procedures. Wound dehiscence occurred in 23.4% of patients with obesity, 18.2% with diabetes mellitus, 15.6% who were smokers, 13% with hypertension, and 18.2% of advanced age. Conclusion: The study highlights obesity, diabetes mellitus, smoking, hypertension, and advanced age as significant risk factors for wound dehiscence following abdominal surgery. Addressing these modifiable factors through tailored preoperative assessment and postoperative care is essential for reducing the incidence of wound dehiscence.

Abstract 7332: Healthcare professionals' perceptions and educational needs in genetic counseling for cancer risk management: An integrated mixed-methods systematic review

Abstract Background: The role of healthcare professionals (HCPs) is crucial in the genetic counseling process for managing hereditary cancer risks. However, HCPs face challenges due to a lack of specialized training and confidence, particularly in communicating genetic risks to patients. Hence, it becomes paramount to identify the essential skills and expertise required by HCPs for genetic counseling. Additionally, gaining insight into their perspectives regarding the content of genetic counseling that should be provided to patients is of utmost importance. Methods: An integrated mixed-methods systematic review and content analysis were performed across five databases on 23 May 2023, employing predetermined search strategies. The quality of selected studies was assessed using the Mixed Method Appraisal Tool (MMAT), and data analysis was conducted using a deductive content analysis approach with MAXQDA 2020. Results: The review encompassed 14 studies from seven countries, revealing moderate risk of bias. It was perceived by HCPs that hereditary cancer families require information in seven specific categories including, cancer risk-reducing strategies; personalized cancer risk; family implications of hereditary cancer; psychological issues; genetic testing; the role of pathogenic genes in hereditary cancers; and social issues related to genetic testing. The study also highlighted the educational needs of HCPs, pinpointing areas such as method for supporting decision-making; clinical management in hereditary cancer families; resources for supporting hereditary cancer families; guidance to support familial communication; genetic testing; the role of each profession; and methods for supporting psychological aspects. Conclusion: The findings underscore the need for specialized training programs to equip HCPs with the necessary skills and knowledge for effective genetic counseling. Additionally, understanding HCPs’ perspectives on the content of genetic counseling is vital for tailoring educational resources and enhancing the genetic counseling process in managing cancer risks. Grants: This research was supported by a grant of the Korean Cancer Survivors Healthcare R&amp;D Project through the National Cancer Center, funded by the Ministry of Health &amp; Welfare, Republic of Korea (grant number: NCC 23F1940-1) Citation Format: So-Youn Jung, Sun-Young Park, Eun-Gyeong Lee, Heejung Chae, Mi-Jin An, Yeon-Joo Kim, Yoon-Jung Choi, Kum Hei Ryu, Sun-Young Kong. Healthcare professionals' perceptions and educational needs in genetic counseling for cancer risk management: An integrated mixed-methods systematic review [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2024; Part 1 (Regular Abstracts); 2024 Apr 5-10; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2024;84(6_Suppl):Abstract nr 7332.

Investigating the Joint Probability of High Coastal Sea Level and High Precipitation

The design strategies for flood risk reduction in coastal towns must be informed by the likelihood of flooding resulting from both precipitation and coastal storm surge. This paper discusses various bivariate extreme value methods to investigate the joint probability of the exceedance of thresholds in both precipitation and sea level and estimate their dependence structure. We present the results of the dependence structure obtained using the observational record at Bridgeport, CT, a station with long data records representative of coastal Connecticut. Furthermore, we evaluate the dependence structure after removing the effects of harmonics in the sea level data. Through this comprehensive analysis, our study seeks to contribute to the understanding of the joint occurrence of sea level and precipitation extremes, providing insights that are crucial for effective coastal management.

A new regionally consistent exposure database for Central Asia: population and residential buildings

Abstract. Central Asia is highly exposed to a broad range of hazardous phenomena including earthquakes, floods and landslides, which have cause substantial damage in the past. However, disaster risk reduction strategies are still under development in the area. We provide a regional-scale exposure database for population and residential buildings based on existing information from previous exposure development efforts at the regional and national scale. Such datasets are complemented with country-based data (e.g., building census, national statistics) collected by national representatives in each Central Asian country (Kazakhstan, the Kyrgyz Republic, Tajikistan, Turkmenistan, Uzbekistan). We also develop population and residential-building exposure layers for the year 2080, which support the definition of disaster risk reduction strategies in the region.