A Review and Classification of Approaches for Dealing with Uncertainty in Multi-Criteria Decision Analysis for Healthcare Decisions

The Author(s) 2015. This article is published with open access at Springerlink.com Abstract Multi-criteria decision analysis (MCDA) is increasingly used to support decisions in healthcare involving multiple and conflicting criteria. Although uncertainty is usually carefully addressed in health eco-nomic evaluations, whether and how the different sources of uncertainty are dealt with and with what methods in MCDA is less known. The objective of this study is to review how uncertainty can be explicitly taken into account in MCDA and to discuss which approach may be appro-priate for healthcare decision makers. A literature review was conducted in the Scopus and PubMed databases. Two reviewers independently categorized studies according to research areas, the type of MCDA used, and the approach used to quantify uncertainty. Selected full text articles wer

Sediment management modelling in the Blue Nile Basin using SWAT model

Soil erosion/sedimentation is an immense problem that has threatened water resources development in the Nile river basin, particularly in the Eastern Nile (Ethiopia, Sudan and Egypt). An insight into soil erosion/sedimentation mechanisms and mitigation methods plays an imperative role for the sustainable water resources development in the region. This paper presents daily sediment yield simulations in the Upper Blue Nile under different Best Management Practice (BMP) scenarios. Scenarios applied in this paper are (i) maintaining existing conditions, (ii) introducing filter strips, (iii) applying stone bunds (parallel terraces), and (iv) reforestation. The Soil and Water Assessment Tool (SWAT) was used to model soil erosion, identify soil erosion prone areas and assess the impact of BMPs on sediment reduction. For the existing conditions scenario, the model results showed a satisfactory agreement between daily observed and simulated sediment concentrations as indicated by Nash-Sutcliffe efficiency greater than 0.83. The simulation results showed that applying filter strips, stone bunds and reforestation scenarios reduced the current sediment yields both at the subbasins and the basin outlets. However, a precise interpretation of the quantitative results may not be appropriate because some physical processes are not well represented in the SWAT model

Sediment management modelling in the Blue Nile Basin using SWAT model

Soil erosion/sedimentation is an immense problem that has threatened water resources development in the Nile river basin, particularly in the Eastern Nile (Ethiopia, Sudan and Egypt). An insight into soil erosion/sedimentation mechanisms and mitigation methods plays an imperative role for the sustainable water resources development in the region. This paper presents daily sediment yield simulations in the Upper Blue Nile under different Best Management Practice (BMP) scenarios. Scenarios applied in this paper are (i) maintaining existing conditions, (ii) introducing filter strips, (iii) applying stone bunds (parallel terraces), and (iv) reforestation. The Soil and Water Assessment Tool (SWAT) was used to model soil erosion, identify soil erosion prone areas and assess the impact of BMPs on sediment reduction. For the existing conditions scenario, the model results showed a satisfactory agreement between daily observed and simulated sediment concentrations as indicated by Nash-Sutcliffe efficiency greater than 0.83. The simulation results showed that applying filter strips, stone bunds and reforestation scenarios reduced the current sediment yields both at the subbasins and the basin outlets. However, a precise interpretation of the quantitative results may not be appropriate because some physical processes are not well represented in the SWAT model

Observed changes in extremes of daily rainfall and temperature in Jemma Sub-Basin, Upper Blue Nile Basin, Ethiopia

Climate variability has been a threat to the socio-economic development of Ethiopia. This paper examined the changes in rainfall, minimum, and maximum temperature extremes of Jemma Sub-Basin of the Upper Blue Nile Basin for the period of 1981 to 2014. The nonparametric Mann-Kendall, seasonal Mann-Kendall, and Sen’s slope estimator were used to estimate annual trends. Ten rainfall and 12 temperature indices were used to study changes in rainfall and temperature extremes. The results showed an increasing trend of annual and summer rainfall in more than 78% of the stations and a decreasing trend of spring rainfall in most of the stations. An increase in rainfall extreme events was detected in the majority of the stations. Several rainfall extreme indices showed wetting trends in the sub-basin, whereas limited indices indicated dryness in most of the stations. Annual maximum and minimum temperature and extreme temperature indices showed warming trend in the sub-basin. Presence of extreme rainfall and a warming trend of extreme temperature indices may suggest signs of climate change in the Jemma Sub-Basin. This study, therefore, recommended the need for exploring climate induced risks and implementing appropriate climate change adaptation and mitigation strategies

Flood generation and classification of a semi-arid intermittent flow watershed: Evrotas river

Hourly water level measurements were used to investigate the flood characteristics of a semi-arid river in Greece, the Evrotas. Flood events are analysed with respect to flood magnitude and occurrence and the performance of Curve Number approach over a period of 2007–2011. A distributed model, Soil and Water Assessment Tool, is used to simulate the historic floods (1970–2010) from the available rainfall data, and the performance of the model assessed. A new flood classification method was suggested the Peaks-Duration Over Threshold method that defines three flood types: ‘usual’, ‘ecological’ and ‘hazardous’. We classify the basin according to the flood type for the most serious past simulated flood events. The proportion of hazardous floods in the main stream is estimated to be 5–7% with a lower figure in tributaries. Flood Status Frequency Graphs and radar plots are used to show the seasonality of simulated floods. In the Evrotas, the seasonality pattern of hazardous flood is in agreement with other studies in Greece and differs from other major European floods. The classification in terms of flood types in combination with flood type seasonality is identified as an important tool in flood management and restoration