44 research outputs found

    Long-Term Functionality of Rural Water Services in Developing Countries: A System Dynamics Approach to Understanding the Dynamic Interaction of Causal Factors

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    Research has shown that sustainability of rural water infrastructure in developing countries is largely affected by the dynamic and systemic interactions of technical, social, financial, institutional, and environmental factors that can lead to premature water system failure. This research employs systems dynamic modeling, which uses feedback mechanisms to understand how these factors interact dynamically to influence long-term rural water system functionality. To do this, the research first identified and aggregated key factors from literature, then asked water sector experts to indicate the polarity and strength between factors through Delphi and cross impact survey questionnaires, and finally used system dynamics modeling to identify and prioritize feedback mechanisms. The resulting model identified 101 feedback mechanisms that were dominated primarily by three and four-factor loops that contained some combination of the factors: Water System Functionality, Community, Financial, Government, Management, and Technology. These feedback mechanisms were then scored and prioritized, with the most dominant feedback mechanism identified as Water System Functionality – Community – Finance – Management. This research offers insight into the dynamic interaction of factors impacting sustainability of rural water infrastructure through the identification of these feedback mechanisms and makes a compelling case for future research to longitudinally investigate the interaction of these factors in various contexts

    Management of anterior cruciate ligament rupture in patients aged 40 years and older

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    The aim of anterior cruciate ligament (ACL) reconstruction is essentially to restore functional stability of the knee and to allow patients to return to their desired work and activities. While in the young and active population, surgery is often the best therapeutic option after an ACL tear, ACL reconstruction in middle-aged people is rather more controversial due to concerns about a higher complication rate. The purpose of our article is to establish, through a systematic review of the literature, useful decision-making criteria for the management of anterior cruciate ligament rupture in patients aged 40 years and older, guiding surgeons to the most appropriate therapeutic approach. Various reports have shown excellent results of ACL reconstruction in patients over the age of 40 in terms of subjective satisfaction, return to previous activity level, and reduced complication and failure rates. Some even document excellent outcomes in subjects of 50 years and older. Although there are limited high-level studies, data reported in the literature suggest that ACL reconstruction can be successful in appropriately selected, motivated older patients with symptomatic knee instability who want to return to participating in highly demanding sport and recreational activities. Deciding factors are based on occupation, sex, activity level of the subject, amount of time spent performing such highly demanding activities, and presence of associated knee lesions. Physiological age and activity level are more important than chronological age as deciding factors when considering ACL reconstruction

    A Distributed computing workflow for modelling environmental flows in complex terrain

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    Numerical modelling of extreme environmental flows such as flash floods, avalanches and mudflows can be used to understand fundamental processes, predict outcomes and assess the loss potential of future events. These extreme flows can produce complicated and dynamic free surfaces as a result of interactions with the terrain and built environment. In order to resolve these features that may affect flows, high resolution, accurate terrain models are required. However, terrain models can be difficult and costly to acquire, and often lack detail of important flow steering structures such as bridges or debris. To overcome these issues we have developed a photogrammetry workflow for reconstructing high spatial resolution three dimensional terrain models. The workflow utilises parallel and distributed computing to provide inexpensive terrain models that can then be used in numerical simulations of environmental flows. A section of Quebrada San Lazaro within the city of Arequipa, Peru is used as a case study to demonstrate the construction and usage of the terrain models and applicability of the workflow for a flash flood scenario.12 page(s
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