The role of commercial insurance in post-disaster recovery: Quantitative evidence from the 2011 Christchurch earthquake

We examine the role of business interruption insurance in business recovery following the Christchurch earthquake in 2011 in the short- and medium-term. In the short-term analysis, we ask whether insurance increases the likelihood of business survival in the aftermath of a disaster. We find only weak evidence that those firms that had incurred damage, but were covered by business interruption insurance, had higher likelihood of survival post-quake compared with those firms that did not have insurance. This absence of evidence may reflect the high degree of uncertainty in the months following the 2011 earthquake and the multiplicity of severe aftershocks. For the medium-term, our results show a more explicit role for insurance in the aftermath of a disaster. Firms with business interruption insurance have a higher probability of increasing productivity and improved performance following a catastrophe. Furthermore, our results show that those organisations that receive prompt and full payments of their claims have a better recovery, in terms of profitability and a subjective ‘”better off” measure’ than those that had protracted or inadequate claim payments (less than 80% of the claim paid within 2.5 years). Interestingly, the latter group does worse than those organisations that had damage but no insurance coverage. This analysis strongly indicates the importance not only of good insurance coverage, but of an insurance system that also delivers prompt claim payments. As a first paper attempting to empirically identify a causal effect of insurance on business recovery, we also emphasize some caveats to our analysis

Severe Takayasu's arteritis of the pulmonary arteries: Report of a case with successful surgical treatment

Although involvement of the aorta and its large branches is more common, Takayasu's arteritis involving the pulmonary arteries is well recognized. This report describes an adolescent girl with an uncommonly severe form ofTakayasu's arteritis involving the pulmonary arteries. A successful surgical treatment is presented

Reviews

The following publications have been reviewed by the mentioned authors;Design: Science: Method by R. Jacques and J. A. Powell, reviewed by Sydney GregoryAfrican Textiles and Dyeing Techniques by Claire Polakoff, reviewed by Dorothea KayThe Complete Calligrapher by Fredrick Wong, reviewed by John LancasterSacred Calligraphy of the East by John Stevens, reviewed by John LancasterSchool Crafts - A Folio of Ideas by the Educational Insitutte of Design, Craft and Technology, reviewed by J. W. ThompsonDesign Briefs by the Educational Insitutte of Design, Craft and Technology, reviewed by J. W. ThompsonA Further Portfolio of Ideas by the Educational Insitutte of Design, Craft and Technology, reviewed by J. W. ThompsonThe Medieval Monastery, Five Shropshire Monasteries by the Department of Education, University of Keele, reviewed by Nigel HallProjects and Designs in Metalwork by Ian Punter, reviewed by Ray BlandColor Science for Lighting the Stage by W. B. Warfel and W. R. Klappert, reviewed by A. VargoScottish Technical Education Modules reviewed by John Cav

Gamma Knife Radiosurgery for Arteriovenous Malformations Using a Four- Dimensional Dynamic Volume Computed Tomography Angiography Planning System as an Alternative to Traditional Catheter Angiogram

Background Gamma knife radiosurgery (GKRS) remains a critical intervention in the long-term management of arteriovenous malformations (AVMs). For planning a treatment, identification of the nidus is essential, and it is dependent on high-resolution blood flow imaging, usually in the form of a traditional angiogram. The development of dynamic 320-slice computed tomography (CT) angiography has offered a noninvasive alternative to intra-arterial fluoroscopic imaging, and it is capable of providing equivalent temporal resolution. In this study, we describe the feasibility of using four-dimensional CT angiography (4D-CTA) in GKRS planning for AVM treatment and a comparative analysis with a traditional angiogram. Methods A retrospective review was performed on AVM patients treated via GKRS with a 4D-CTA prior to the day of treatment, on the day of treatment, or with a day-of-treatment angiogram. Treatment times, along with total times in the Leksell® coordinate frame G, were obtained from the medical records. The frame-on time was calculated by subtracting the treatment time from the total time starting from application to removal, and the statistical analysis was performed across groups using analysis of variance (ANOVA). All treatments were performed on the Perfexion™ model with a dynamic flow imaging procured via a 320-slice CT scanner or traditional angiography platform. Results Some 27 patients underwent a total of 29 GKRS procedures for AVM treatment at our institution between September 2011 and January 2017. Mean age at the time of treatment was 35.5 (6-65) years, and male:female ratio was 5:4. Some 12 patients had 4D-CTA performed prior to the day of treatment, eight patients had the same CTA completed after frame placement on the day of treatment, while seven patients underwent traditional angiography. The mean frame-on times of each group were 190, 336, and 426 minutes, respectively (p \u3c 0.0001). No procedures were aborted based on the image quality. Conclusions 4D-CTA is an effective tool in identifying the AVM nidus for GKRS planning. These studies can be performed prior to the day of treatment, allowing for a significant reduction in frame-on time and eliminating the risk of angiogram complication on the day of GKRS