Using Discrete Event Simulation Models to Evaluate Resilience of an Emergency Department

Hospitals are critical infrastructures which are vulnerable to natural disasters, such as earthquakes, man-made disasters and mass causalities events. During the emergency, the hospital might also incur in structural and non-structural damage, have limited communication and resources, so they might not be able to treat the large number of incoming patients. For this reason, the majority of medium- and large-size hospitals have an emergency plan that expands their services quickly beyond normal operating conditions to meet an increased demand for medical care, but it is impossible for them to test it before an emergency occurs. The objective of this article is to develop a simplified model that could describe the ability of the Hospital Emergency Department to provide service to all patients after a natural disaster or any other emergency. The waiting time is the main response parameter used to measure hospital resilience to disasters. The analytical model has been built using the following steps. First, a discrete event simulation model of the Emergency Department in a hospital located in Italy is developed taking into account the hospital resources, the emergency rooms, the circulation patterns and the patient codes. The results of the Monte Carlo simulations show that the waiting time for yellow codes, when the emergency plan is applied, are reduced by 96%, while for green codes by 75%. Then, using the results obtained from the simulations, a general metamodel has been developed, which provides the waiting times of patients as function of the seismic input and the number of the available emergency rooms. The proposed metamodel is general and it can be applied to any type of hospital.     

Seismic Evaluation and Retrofit of Asymmetric Multi-Story Wood-Frame Building

The presented research focuses on large-scale seismic testing under multi-directional ground motion of a three-story high, wood-frame residential building representing late 1960's California construction. Earthquake lateral resistance is provided by plywood shear walls around the perimeter of the building with an open front in the first story for tuck-under parking. Accordingly, the as-built structural configuration is asymmetric in plan and discontinuous in elevation with tendency to twist about a vertical axis and to form a weak story mechanism. The test results confirm this tendency. They also reveal the sensitivity of the response to multi-direction ground motion. Asymmetric damage patterns are induced by the multi-component motions in the walls oriented perpendicular to the open front for the as-built test structure, with or without finish materials. However, the observed damage remained noncritical as far as structural integrity is concerned even for ground accelerations exceeding 120% of that recorded during Northridge earthquake. This is viewed as a consequence of the better construction of the test building compared to actual construction. Investigated retrofit includes adding a welded moment resisting steel frame around of the garage opening and strengthening the diaphragm to header beam connections. The study indicates that the retrofit significantly reduced the maximum story drift in the open front. Moreover, the finish material and the retrofit greatly reduce the maximum rotation of the building about the vertical axis.     

Online petitioning and politics: the development of Change.org in Australia

Online petitions are an important feature of contemporary political engagement in advanced democracies. In this paper we report on a unique data set – covering a five year period and over 17,000 petitions – documenting the development of the Change.org platform in Australia. Australia presents an interesting case as, until very recently, there was no national government hosted online petition site. Our analysis results in three findings that advance scholarship on online petitions. First, we find the majority of petitions are in fact targeted at government, and that their issue area is of a political nature. Second, we find that most signers of petitions sign a single petition – they are not serial participants. Finally, we show that ‘super users’ of the online petition system engage broadly as well as often. Together these findings demonstrate that online petition creation and signing – even on commercial platforms – is a distinct and important part of citizen engagement in politics.