Bax & Willems

New flood risk management policies account for climate and socio-economic change by embracing a more integrated approach. Their implementation processes require: collaboration between a group of stakeholders; combining objectives and funding from various policy domains; consideration of a range of possible options at all spatial scale levels and for various time horizons. Literature provides limited guidance on how to organise a collaborative planning process to devise integrated flood risk management (IFRM) plans. This paper presents a case study where a recently developed framework for process design and management has been used and evaluates whether or not the collaborative planning process led to an IFRM plan. The case study is Dordrecht (NL) where the new multi-layer-safety (MLS) approach has been applied in the context of the Delta Programme. The Delta Programme investigates how the Netherlands can adapt to the effects of climate change. MLS comprises three flood safety layers to reduce flood risk: flood protection, spatial planning, and emergency response. The framework has been shown to be effective in the delivery of an IFRM plan, it has been enriched by defining the interfaces between and phasing of planning activities, and can be further improved to better guide implementation and governance activities.

Abstract Urban development and regeneration present windows of opportunity to help reduce flood vulnerability. Much recent research stresses the need for better integration of flood risk into planning processes. However, there is limited experience in incorporating flood risk management in urban planning. Demonstration projects can help in overcoming this lack of experience and facilitate a transition towards integrated flood risk management and spatial planning; taking longer term flexible and adaptive approaches. This paper demonstrates that the process of research, if collaborative, can contribute to the better integration of flood risk in urban planning. Collaborative research can support demonstration projects and their wider uptake, as well as policy development and subsequently a transition to integrated flood risk management. It also provides greater freedom to use different approaches, consider a broader range of problems and solutions, bring stakeholders together and facilitate capacity building. This paper calls for collaborative research that facilitates social learning and is impact focussed, preferably supporting innovative demonstration projects.

To explore the pathogenesis of the third heart sound (S3), left ventricular hemodynamics in early diastole were studied during catheterization in normal adults without S3S (group I, n = 12) and in cardiac patients with S3S as the result of severe mitral regurgitation (group II, n = 11), dilated cardiomyopathy (group III, n = 24) or restricted left ventricular filling (group IV, n = 4). The height and steepness of the rise in left ventricular pressure after minimum diastolic pressure (the so-called rapid filling wave), maximum dV/dt, and the time constant of fall in isovolumetric pressure were measured. The completeness of relaxation was evaluated from the number of time constants elapsed at the time of minimum diastolic pressure. Pressure-volume data were fitted to simple elastic and viscoelastic models incorporating inflow rate into the equation. In all patients with S3S a significantly higher and steeper rapid filling wave was found than in normal adults. Maximum dV/dt was significantly greater in group II (1084.9 +/- 416 ml/sec; mean +/- SD) than in the other groups (463.9 +/- 177.1 ml/sec in group I, 448.8 +/- 134.0 ml/sec in group III, and 709.9 +/- 226.8 ml/sec in group IV). No significant differences in left ventricular chamber elastic properties in the different groups were found. However, intrapatient comparisons of the results of the use of elastic and viscoelastic equations revealed a significantly better curve fit (r = .930 vs .968, p less than .005) and a much higher viscous constant for group III. Similar results were found in group IV.(ABSTRACT TRUNCATED AT 250 WORDS)