Evidence-Based Contingency Planning to Enhance Local Resilience to Flood Disasters

The Sendai Framework for Disaster Risk Reduction 2015–2030 addresses the importance of “Enhancing disaster preparedness for effective response and to ‘Build Back Better’ in recovery, rehabilitation and reconstruction” as the fourth priority action. One of the practical tools to achieve effective preparedness for flood disaster response is evidence-based contingency planning, which is based on scientific approaches such as flood simulation and quantitative risk assessment. This method, however, is not always feasible to disaster-prone areas in Asia due to the lack of data on natural and social conditions. This chapter proposes a method with six steps for local communities to conduct contingency planning by assuming the dynamic change of inundation using flood simulation, assessing flood risk with key indicators, deciding response strategies against the identified flood risk and developing a contingency plan beforehand. This method was first applied to one of the Asian flood-prone areas, Calumpit Municipality in the Pampanga River basin of the Philippines, to verify its effectiveness in areas where the availability of natural and socio-economic data is limited

Chemotherapy with low-dose capecitabine as palliative treatment in a patient with metastatic breast cancer: a case report

Chemotherapeutic agents are rarely used for symptom management in patients under palliative care setting. This is because chemotherapeutic agents not only have limited efficacy in palliative treatment but are also known to exert severe adverse effects. We describe our experience with a patient with metastatic breast cancer who was successfully treated with low-dose capecitabine, without the development of any severe toxicities and with significant improvement in activities of daily living (ADL) and quality of life (QOL)

Elucidation of the mechanisms of exercise-induced hypoalgesia and pain prolongation due to physical stress and the restriction of movement

Persistent pain signals cause brain dysfunction and can further prolong pain. In addition, the physical restriction of movement (e.g., by a cast) can cause stress and prolong pain. Recently, it has been recognized that exercise therapy including rehabilitation is effective for alleviating chronic pain. On the other hand, physical stress and the restriction of movement can prolong pain. In this review, we discuss the neural circuits involved in the control of pain prolongation and the mechanisms of exercise-induced hypoalgesia (EIH). We also discuss the importance of the mesolimbic dopaminergic network in these phenomena