title: Modelling post-earthquake building recovery under human resource constraints

authors: Li, Lianyan

abstract: Demand surge phenomenon as a result of shortages of human resources needed for post-disaster recovery and reconstruction can be detrimental to recovery outcomes. To quantify the impact of human resource constraints on the recovery of an urban environment, this research introduces a novel Dynamic Stochastic Queuing (DSQ) model, revealing such dynamic interplays over time. Central to this model is the incorporation of a spectrum of socioeconomic factors to formulate optimal recovery strategies under different dynamic resource mobilisation patterns. A recovery efficiency index is defined and employed as a proxy to facilitate comparisons across diverse recovery strategies. A case study is presented to illustrate the application of the model by simulating the building recovery of a portfolio of residential buildings in New Zealand following the 2010–2011 Canterbury Earthquake Sequence (CES). The findings indicate that proactive resource mobilisation strategies can significantly enhance both recovery efficiency and speed. It becomes possible to shorten the post-disaster recovery time significantly by strategically sequencing repairs of damaged structures while taking into account resource mobilisation strategies.

text: Modelling post-earthquake building recovery under human resource constraints Demand surge phenomenon as a result of shortages of human resources needed for post-disaster recovery and reconstruction can be detrimental to recovery outcomes. To quantify the impact of human resource constraints on the recovery of an urban environment, this research introduces a novel Dynamic Stochastic Queuing (DSQ) model, revealing such dynamic interplays over time. Central to this model is the incorporation of a spectrum of socioeconomic factors to formulate optimal recovery strategies under different dynamic resource mobilisation patterns. A recovery efficiency index is defined and employed as a proxy to facilitate comparisons across diverse recovery strategies. A case study is presented to illustrate the application of the model by simulating the building recovery of a portfolio of residential buildings in New Zealand following the 2010–2011 Canterbury Earthquake Sequence (CES). The findings indicate that proactive resource mobilisation strategies can significantly enhance both recovery efficiency and speed. It becomes possible to shorten the post-disaster recovery time significantly by strategically sequencing repairs of damaged structures while taking into account resource mobilisation strategies.

year: 2025

title: Eliciting usage contexts of safety-critical medical devices

authors: Bowen, Judy

subjects: computer science

abstract: This position paper outlines our approach to improve the usage choice of suitable devices in different health care environments (contexts). Safety-critical medical devices are presumed to have undergone a thorough (user-centred) design process to optimize the device for the intended purpose, user group and environment. However, in real-life health care scenarios, actual usage may not reflect the original design parameters. We suggest the identification of further usage contexts for safety-critical medical devices through ethnographic and other studies, to assist better modelling of the challenges of different usage environments. In combination with system and interaction models, these context models can then be used for decision-support in choosing medical devices that are suitable for the intended environment.

text: Eliciting usage contexts of safety-critical medical devices This position paper outlines our approach to improve the usage choice of suitable devices in different health care environments (contexts). Safety-critical medical devices are presumed to have undergone a thorough (user-centred) design process to optimize the device for the intended purpose, user group and environment. However, in real-life health care scenarios, actual usage may not reflect the original design parameters. We suggest the identification of further usage contexts for safety-critical medical devices through ethnographic and other studies, to assist better modelling of the challenges of different usage environments. In combination with system and interaction models, these context models can then be used for decision-support in choosing medical devices that are suitable for the intended environment.

year: 2014

title: Death and homelessness on the streets of Aotearoa New Zealand: Sustaining life

authors: Charvin-Fabre, Sandrine

abstract: In high-income countries, homeless people die 20 to 35 years earlier than domiciled populations. Despite this enduring reality, the issue of death inequality remains underexplored, especially in indigenous homeless contexts, facing the ongoing effects of colonisation. This study centres on the perspectives and aspirations of a Māori street homeless community, known as the “Peeps”. Its objective is twofold: to spotlight to unjust, untimely, and avoidable mortality impacting homeless communities in Aotearoa New Zealand, and to understand how life can be sustained against the adversity of street life. The thesis diverges from conventional public health approaches, which often dichotomise early deaths prevention through improved healthcare access during homelessness, and palliative care provision at the end of life of homeless people. This thesis explores “the temporal space of life prior to death”. Within that temporal realm, the omnipresent “risk of dying” that infiltrates the lives of homeless people, disrupting the linear progression toward death observed in domiciled populations, is recognised. This temporal space is understood as a zone of uncertainty and potentiality, wherein complex life-death dynamics operate, revealing broader political, societal and cultural tensions. This study encountered significant challenges, including the dearth of prior death-related research in Māori homeless contexts, and my non-Māori identity. In response, an indeterminate approach, rooted in relational ethics and complexity and systems thinking — aligned with Māori worldviews — was adopted.  

Part I of the thesis is conceptual and contextual. Part II invites the readers into the fragile “temporal space of life prior to death” and the cyclical research process. Cycle 1 focuses on understanding the local context of death inequality, through relational fieldwork and statistical analysis of coroners’ reports. This analysis uncovers a 30-year life expectancy disparity with domiciled populations, exacerbated by three-quarters of avoidable mortality, mainly due to chronic conditions and suicide. Subsequent cycles sustain relational fieldwork, using collaborative and critical performance ethnography. Cycle 2 reveals the Peeps’ resistance to access healthcare, rooted in experiences of transgenerational trauma and marginalisation of Māori beliefs and values in relation to death and dying within mainstream healthcare institutions. Collaboration with the Peeps leads to the co-creation of a drama, intended to initiate conversations with health professionals from the Peeps’ perspectives and aspirations, to improve the quality of care. This cycle also highlights the impact of disconnection processes with whānau (family, extended family) experienced by the Peeps. Progressing further, cycle 3 illuminates healing processes with whānau using Advance Care Planning, envisioned as a relational space, providing the Peeps with a sense of belonging, and spiritual continuity in the perspective of death and dying. 
 
In addition to shedding light on the profound death inequality that affect Māori homeless people, this thesis argues for homelessness to be recognised as “complex life-threatening conditions associated with serious-related health suffering”. Accordingly, the thesis advocates the shift toward comprehensive care, inclusive of a concurrent prevention and palliation approach over the course of homelessness, to mitigate its impact on the lives of Māori homeless people and enhance holistic wellbeing.

text: Death and homelessness on the streets of Aotearoa New Zealand: Sustaining life In high-income countries, homeless people die 20 to 35 years earlier than domiciled populations. Despite this enduring reality, the issue of death inequality remains underexplored, especially in indigenous homeless contexts, facing the ongoing effects of colonisation. This study centres on the perspectives and aspirations of a Māori street homeless community, known as the “Peeps”. Its objective is twofold: to spotlight to unjust, untimely, and avoidable mortality impacting homeless communities in Aotearoa New Zealand, and to understand how life can be sustained against the adversity of street life. The thesis diverges from conventional public health approaches, which often dichotomise early deaths prevention through improved healthcare access during homelessness, and palliative care provision at the end of life of homeless people. This thesis explores “the temporal space of life prior to death”. Within that temporal realm, the omnipresent “risk of dying” that infiltrates the lives of homeless people, disrupting the linear progression toward death observed in domiciled populations, is recognised. This temporal space is understood as a zone of uncertainty and potentiality, wherein complex life-death dynamics operate, revealing broader political, societal and cultural tensions. This study encountered significant challenges, including the dearth of prior death-related research in Māori homeless contexts, and my non-Māori identity. In response, an indeterminate approach, rooted in relational ethics and complexity and systems thinking — aligned with Māori worldviews — was adopted.  

Part I of the thesis is conceptual and contextual. Part II invites the readers into the fragile “temporal space of life prior to death” and the cyclical research process. Cycle 1 focuses on understanding the local context of death inequality, through relational fieldwork and statistical analysis of coroners’ reports. This analysis uncovers a 30-year life expectancy disparity with domiciled populations, exacerbated by three-quarters of avoidable mortality, mainly due to chronic conditions and suicide. Subsequent cycles sustain relational fieldwork, using collaborative and critical performance ethnography. Cycle 2 reveals the Peeps’ resistance to access healthcare, rooted in experiences of transgenerational trauma and marginalisation of Māori beliefs and values in relation to death and dying within mainstream healthcare institutions. Collaboration with the Peeps leads to the co-creation of a drama, intended to initiate conversations with health professionals from the Peeps’ perspectives and aspirations, to improve the quality of care. This cycle also highlights the impact of disconnection processes with whānau (family, extended family) experienced by the Peeps. Progressing further, cycle 3 illuminates healing processes with whānau using Advance Care Planning, envisioned as a relational space, providing the Peeps with a sense of belonging, and spiritual continuity in the perspective of death and dying. 
 
In addition to shedding light on the profound death inequality that affect Māori homeless people, this thesis argues for homelessness to be recognised as “complex life-threatening conditions associated with serious-related health suffering”. Accordingly, the thesis advocates the shift toward comprehensive care, inclusive of a concurrent prevention and palliation approach over the course of homelessness, to mitigate its impact on the lives of Māori homeless people and enhance holistic wellbeing.

year: 2024