12 research outputs found
A stochastic sewer model to predict pipe flows and pollutant loads in an urban drainage system
[EN] This work implemented a stochastic sewer model (SIMDEUM-WW) to forecast dry weather sewer flows and pollutant loading, from probabilistic household demand patterns based on information about inhabitants and appliance usage. The probabilistic outputs were fed into MIKE URBAN (DHI) for hydrodynamic and water quality simulations. The MIKE URBAN model consists of a 1D sewer network model. The model was validated against field measurement data and the results show that the SIMDEUM-WW can adequately calculate wastewater and pollutant loading. However, the SIMDEUM-WW was originally calibrated on households in the Netherlands such that errors were observed in the UK application. The uncertainties in actual flow and pollutant loading also contributed to the inaccuracy of modelling results.Addison-Atkinson, W.; Chen, A.; Memon, F.; Hofman, J.; Blokker, M. (2024). A stochastic sewer model to predict pipe flows and pollutant loads in an urban drainage system. Editorial Universitat Politècnica de València. https://doi.org/10.4995/WDSA-CCWI2022.2022.1478
Quantifying flood model accuracy under varying surface complexities
This is the final version. Available on open access from Elsevier via the DOI in this recordData availability:
Data will be made available on request.Open Access experimental datasets used in this paper are available at https://zenodo.org/communities/floodinteract/Floods in urban areas which feature interactions between piped and surface networks are hydraulically complex. Further, obtaining in situ calibration data, although necessary for robust simulations, can be very challenging. The aim of this research is to evaluate the performance of a commonly used deterministic 1D-2D flood model, calibrated using low resolution data, against a higher resolution dataset containing flows, depths and velocity fields; which are replicated from an experimental scale model water facility. Calibration of the numerical model was conducted using a lower resolution dataset, which consisted of a simple rectangular profile. The model was then evaluated against a dataset that was higher in spatial resolution and more complex in geometry (a street profile containing parking spaces). The findings show that when the model increased in scenario complexity model performance was reduced, though most of the simulation error was < 10% (NRMSE). Similarly, there was more error in the validated model that was higher in spatial resolution than lower. This was due to calibration not being stringent enough when conducted in a lower spatial resolution. However, overall the work shows the potential for the use of low-resolution datasets for model calibration.Engineering and Physical Sciences Research Council (EPSRC
Investigation of uniform and graded sediment wash-off in an urban drainage system: numerical model validation from a rainfall simulator in an experimental facility
[Abstract:] Understanding sediment wash-off in urban environments plays an essential role in sediment transport management; and is critical for accurate pluvial flood control to assist in adaptation and mitigation strategies. Sediment transport models have been researched previously, though challenges still arise due to the complicated nature of graded sediment transport. This study tested the accuracy of the van Rijn model using a sparse distribution of particle sizes using the geometric mean. As such, this study used high-resolution datasets collected in a water laboratory to investigate sediment wash-off and transport on an urban street. This included the interaction of two gully pots receiving sediment loads that were washed off from a hypothetical urban surface by three rainfall intensities. The results showed that the model was able to simulate uniform sediments entering the gully pots accurately when the sediment size was assigned to a median diameter. Using the grain diameter to represent the geometric mean can improve the model performance for simulating a graded sediment.EPSRC Centre for Doctoral Training in Water Informatics Science and Engineering, WISE CDT; EP/L016214/1The work presented in this paper was carried out as part of PhD research and was supported by the EPSRC Centre for Doctoral Training in Water Informatics Science and Engineering (WISE CDT; EP/L016214/1). The experimental part and data collection received funding from the Spanish Ministry of Science, Innovation and Universities under POREDRAIN project RTI2018-094217-B-C33 (MINECO/FEDER-EU). The authors would also like to thank the Danish Hydraulic Institute for supplying the academic license for the MIKE 21 model
Sharing the Burden: Empirical Evidence on Corporate Tax Incidence
This study assesses the burden of capital income tax passed onto labor through wage bargaining over economic rents, using estimations based on a unique pseudo-panel data set from Germany for the period 1998 to 2006. Tax return data cover the universe of corporations subject to corporate income tax, and labor market variables reflect the full record of employees covered by Social Security. We find that wage bargaining after a reduction in tax rates does not increase the wage bill if employment effects neglected by previous empirical studies are taken into account. Any increase in the total wage bill by higher wage rates set is equally compensated for by lower levels of employment. If adjustments in employment due to the increased user cost of capital are taken into account, a cut in corporate income taxes by 1 euro increases the wage bill by 0.47 euro. The identification of these effects comes from variation in the firm-specific average corporate tax rate across firms and over time resulting from two substantial tax reforms. The endogeneity of the firmspecific tax rate is controlled for by an instrumental variable approach. The instrument for the observed average tax rate is the counterfactual tax rate that a corporation would have faced in a particular period, had there been no endogenous change of its tax base, constructed using a detailed microsimulation model
General anaesthetic and airway management practice for obstetric surgery in England: a prospective, multi-centre observational study
There are no current descriptions of general anaesthesia characteristics for obstetric surgery, despite recent changes to patient baseline characteristics and airway management guidelines. This analysis of data from the direct reporting of awareness in maternity patients' (DREAMY) study of accidental awareness during obstetric anaesthesia aimed to describe practice for obstetric general anaesthesia in England and compare with earlier surveys and best-practice recommendations. Consenting patients who received general anaesthesia for obstetric surgery in 72 hospitals from May 2017 to August 2018 were included. Baseline characteristics, airway management, anaesthetic techniques and major complications were collected. Descriptive analysis, binary logistic regression modelling and comparisons with earlier data were conducted. Data were collected from 3117 procedures, including 2554 (81.9%) caesarean deliveries. Thiopental was the induction drug in 1649 (52.9%) patients, compared with propofol in 1419 (45.5%). Suxamethonium was the neuromuscular blocking drug for tracheal intubation in 2631 (86.1%), compared with rocuronium in 367 (11.8%). Difficult tracheal intubation was reported in 1 in 19 (95%CI 1 in 16-22) and failed intubation in 1 in 312 (95%CI 1 in 169-667). Obese patients were over-represented compared with national baselines and associated with difficult, but not failed intubation. There was more evidence of change in practice for induction drugs (increased use of propofol) than neuromuscular blocking drugs (suxamethonium remains the most popular). There was evidence of improvement in practice, with increased monitoring and reversal of neuromuscular blockade (although this remains suboptimal). Despite a high risk of difficult intubation in this population, videolaryngoscopy was rarely used (1.9%)
Adding 6 months of androgen deprivation therapy to postoperative radiotherapy for prostate cancer: a comparison of short-course versus no androgen deprivation therapy in the RADICALS-HD randomised controlled trial
Background
Previous evidence indicates that adjuvant, short-course androgen deprivation therapy (ADT) improves metastasis-free survival when given with primary radiotherapy for intermediate-risk and high-risk localised prostate cancer. However, the value of ADT with postoperative radiotherapy after radical prostatectomy is unclear.
Methods
RADICALS-HD was an international randomised controlled trial to test the efficacy of ADT used in combination with postoperative radiotherapy for prostate cancer. Key eligibility criteria were indication for radiotherapy after radical prostatectomy for prostate cancer, prostate-specific antigen less than 5 ng/mL, absence of metastatic disease, and written consent. Participants were randomly assigned (1:1) to radiotherapy alone (no ADT) or radiotherapy with 6 months of ADT (short-course ADT), using monthly subcutaneous gonadotropin-releasing hormone analogue injections, daily oral bicalutamide monotherapy 150 mg, or monthly subcutaneous degarelix. Randomisation was done centrally through minimisation with a random element, stratified by Gleason score, positive margins, radiotherapy timing, planned radiotherapy schedule, and planned type of ADT, in a computerised system. The allocated treatment was not masked. The primary outcome measure was metastasis-free survival, defined as distant metastasis arising from prostate cancer or death from any cause. Standard survival analysis methods were used, accounting for randomisation stratification factors. The trial had 80% power with two-sided α of 5% to detect an absolute increase in 10-year metastasis-free survival from 80% to 86% (hazard ratio [HR] 0·67). Analyses followed the intention-to-treat principle. The trial is registered with the ISRCTN registry, ISRCTN40814031, and ClinicalTrials.gov, NCT00541047.
Findings
Between Nov 22, 2007, and June 29, 2015, 1480 patients (median age 66 years [IQR 61–69]) were randomly assigned to receive no ADT (n=737) or short-course ADT (n=743) in addition to postoperative radiotherapy at 121 centres in Canada, Denmark, Ireland, and the UK. With a median follow-up of 9·0 years (IQR 7·1–10·1), metastasis-free survival events were reported for 268 participants (142 in the no ADT group and 126 in the short-course ADT group; HR 0·886 [95% CI 0·688–1·140], p=0·35). 10-year metastasis-free survival was 79·2% (95% CI 75·4–82·5) in the no ADT group and 80·4% (76·6–83·6) in the short-course ADT group. Toxicity of grade 3 or higher was reported for 121 (17%) of 737 participants in the no ADT group and 100 (14%) of 743 in the short-course ADT group (p=0·15), with no treatment-related deaths.
Interpretation
Metastatic disease is uncommon following postoperative bed radiotherapy after radical prostatectomy. Adding 6 months of ADT to this radiotherapy did not improve metastasis-free survival compared with no ADT. These findings do not support the use of short-course ADT with postoperative radiotherapy in this patient population
Duration of androgen deprivation therapy with postoperative radiotherapy for prostate cancer: a comparison of long-course versus short-course androgen deprivation therapy in the RADICALS-HD randomised trial
Background
Previous evidence supports androgen deprivation therapy (ADT) with primary radiotherapy as initial treatment for intermediate-risk and high-risk localised prostate cancer. However, the use and optimal duration of ADT with postoperative radiotherapy after radical prostatectomy remains uncertain.
Methods
RADICALS-HD was a randomised controlled trial of ADT duration within the RADICALS protocol. Here, we report on the comparison of short-course versus long-course ADT. Key eligibility criteria were indication for radiotherapy after previous radical prostatectomy for prostate cancer, prostate-specific antigen less than 5 ng/mL, absence of metastatic disease, and written consent. Participants were randomly assigned (1:1) to add 6 months of ADT (short-course ADT) or 24 months of ADT (long-course ADT) to radiotherapy, using subcutaneous gonadotrophin-releasing hormone analogue (monthly in the short-course ADT group and 3-monthly in the long-course ADT group), daily oral bicalutamide monotherapy 150 mg, or monthly subcutaneous degarelix. Randomisation was done centrally through minimisation with a random element, stratified by Gleason score, positive margins, radiotherapy timing, planned radiotherapy schedule, and planned type of ADT, in a computerised system. The allocated treatment was not masked. The primary outcome measure was metastasis-free survival, defined as metastasis arising from prostate cancer or death from any cause. The comparison had more than 80% power with two-sided α of 5% to detect an absolute increase in 10-year metastasis-free survival from 75% to 81% (hazard ratio [HR] 0·72). Standard time-to-event analyses were used. Analyses followed intention-to-treat principle. The trial is registered with the ISRCTN registry, ISRCTN40814031, and
ClinicalTrials.gov
,
NCT00541047
.
Findings
Between Jan 30, 2008, and July 7, 2015, 1523 patients (median age 65 years, IQR 60–69) were randomly assigned to receive short-course ADT (n=761) or long-course ADT (n=762) in addition to postoperative radiotherapy at 138 centres in Canada, Denmark, Ireland, and the UK. With a median follow-up of 8·9 years (7·0–10·0), 313 metastasis-free survival events were reported overall (174 in the short-course ADT group and 139 in the long-course ADT group; HR 0·773 [95% CI 0·612–0·975]; p=0·029). 10-year metastasis-free survival was 71·9% (95% CI 67·6–75·7) in the short-course ADT group and 78·1% (74·2–81·5) in the long-course ADT group. Toxicity of grade 3 or higher was reported for 105 (14%) of 753 participants in the short-course ADT group and 142 (19%) of 757 participants in the long-course ADT group (p=0·025), with no treatment-related deaths.
Interpretation
Compared with adding 6 months of ADT, adding 24 months of ADT improved metastasis-free survival in people receiving postoperative radiotherapy. For individuals who can accept the additional duration of adverse effects, long-course ADT should be offered with postoperative radiotherapy.
Funding
Cancer Research UK, UK Research and Innovation (formerly Medical Research Council), and Canadian Cancer Society