| 1. |
- Aalberg, Asbjørn Lein, et al.
(author)
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Læring etter branner i Norge – forutsetninger, barrierer og fremmende faktorer
- 2022
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Reports (other academic/artistic)abstract
- Denne rapporten presenterer resultater fra et prosjekt som er utført av Fire Research and Innovation Centre - FRIC fra 2020 til 2022. Første versjon av rapporten ble publisert på engelsk i mars 2022. Denne norske versjonen er oversatt av SINTEF Digital og RISE Fire Research i samarbeid. En spesiell takk til Caroline Kristensen for arbeidet med oversettelsen. Rapporten er også oppdatert på enkelte punkter, uten at fokus og konklusjoner skal være endret.
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| 2. |
- Aalberg, Asbjørn Lein, et al.
(author)
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Preconditions for Learning from Fires in Norway : Structural, Cultural, Technological, Interactional and Relational Aspects
- 2021
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In: Proceedings of the 31st European Safety and Reliability Conference. - Singapore : Research Publishing Services. - 9789811820168 ; , s. 1747-1754
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Conference paper (peer-reviewed)abstract
- Learning from incidents is widely accepted as a core part of safety management. This is also true for fires – however few fires in Norway are investigated. Fires are interesting incidents conceptually due to their potential of devastating outcomes on material and human lives and because they happen across all sectors and industries, businesses, and homes. In Norway, several different actors play a role in investigating and learning from fires, from the fire rescue services to directorates and Non-Governmental Organisations. The present study seeks to understand the preconditions for learning from fires in Norway, with emphasis on the formal actors that play a role in preventing and mitigating fires. Methodologically, the study is based on qualitative interviews conducted with relevant actors from first responders, authorities, and other sectors. We found that there are structural, cultural, technological, and relational aspects that seem to influence learning from fires in Norway. The results were analyzed using thematic analysis and the Pentagon model framework. The findings are discussed in relation to theories from organisational learning and learning from incidents.
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| 4. |
- Aamodt, Edvard, et al.
(author)
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LEARNING FROM FIRE INCIDENTS : Analysis of a devastating fire in a building with municipal housing in Norway
- 2022
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In: Proceedings of the 32nd European Safety and Reliability Conference (ESREL 2022). ; , s. 1156-
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Conference paper (peer-reviewed)abstract
- This article presents an analysis of a fire in a municipal apartment building used as housing for people with challenges connected to drug addiction. The fire took place in Norway 7th of August 2021. The incident happened during the night and the fire was spreading quickly and intensely via the external wooden balconies. The combination of risk factors both connected to the fire development and the characteristics of the occupants raises the potential for fire fatalities. This analysis seeks to understand why the fire spread with such a speed, and how everyone in the building survived without injuries. The analysis identified both technical and human factors that may help to answer these questions. The findings suggest that there were deficiencies connected to the technical fire safety design that if improved could have reduced the fire damage. Factors promoting the fire spread and fire intensity include the choice of wood material used in the construction of the balconies, no sprinkler system installed on the balconies and a large fire load on the balconies caused by the occupants’ tendency to accumulate possessions on the balconies. Factors contributing to the outcome of no injuries or fatalities included occupants being awake during these late hours, and the strong social network between them. Such a network should be seen as a positive factor regarding robustness against fire and should be encouraged.
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| 5. |
- Broström (red), Tor, et al.
(author)
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Brandsäkerhet för byggnader med kulturvärden: En kunskapsöversikt
- 2021
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Book (other academic/artistic)abstract
- Abstract [sv] Arbetet med brandsäkerhet för byggnader med kulturvärden kräver anpassade lösningar som också kan tillgodose ett bevarande av byggnaderna och deras kulturvärden. Det finns, utspritt, mycket kunskap och erfarenhet inom det här området både i Sverige och internationellt. För att tillgodose ett behov av samlad kunskap inom detta område initierade Brandforsk en kunskapsöversikt tillsammans med Akademiska hus, Fortifikationsverket, Kammarkollegiet, Kyrkans försäkring, Riksantikvarieämbetet och Statens fastighetsverk. Den här kunskapsöversikten syftar till att sammanställa och presentera den kunskap som finns. Ett kompletterande syfte är att definiera områden där kunskap saknas. Kunskapsöversikten är indelad i sex områden: 2. Skydd mot brands uppkomst 3. Spridning av brand inom byggnad 4. Spridning av brand till byggnad 5. Brandens påverkan på byggnadens stomme 6. Utrymning 7. Räddningstjänstens insats Med utgångspunkt från workshops har en sammanställning av behovsbilden gjorts. Kunskapsöversikten och behovsbilden ligger till grund för en gap-analys vilken pekar på behov av fortsatt forskning och utveckling. Abstract [en] Working with fire safety in historic buildings requires adapted solutions that can also satisfy the preservation of the buildings and their cultural values. There is a lot of knowledge and experience in this area both in Sweden and internationally. In order to make this available to end users, Brandforsk initiated a literature review together with a group of national sponsors. This literature review aims to compile and present the documented knowledge in the field. A complementary purpose is to define knowledge gaps. The review is divided into six areas: 2. Fire prevention 3. Fire spread within buildings 4. Fire spread between structures 5. Structural fire resistance 6. Evacuation 7. Fire and rescue service activities Based on workshops the needs of end users have been compiled. A comparison of the outcome of the review and the end user needs defines a knowledge gap pointing to the need for continued research and development.
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| 6. |
- de Graaff, Anne M., et al.
(author)
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Scalable psychological interventions for Syrian refugees in Europe and the Middle East : STRENGTHS study protocol for a prospective individual participant data meta-analysis
- 2022
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In: BMJ Open. - : BMJ. - 2044-6055. ; 12:4
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Journal article (peer-reviewed)abstract
- Introduction The World Health Organization's (WHO) scalable psychological interventions, such as Problem Management Plus (PM+) and Step-by-Step (SbS) are designed to be cost-effective non-specialist delivered interventions to reduce symptoms of common mental disorders, such as anxiety, depression and post-traumatic stress disorder (PTSD). The STRENGTHS consortium aims to evaluate the effectiveness, cost-effectiveness and implementation of the individual format of PM+ and its group version (gPM+), as well as of the digital SbS intervention among Syrian refugees in seven countries in Europe and the Middle East. This is a study protocol for a prospective individual participant data (IPD) meta-analysis to evaluate (1) overall effectiveness and cost-effectiveness and (2) treatment moderators of PM+, gPM+ and SbS with Syrian refugees. Methods and analysis Five pilot randomised controlled trials (RCTs) and seven fully powered RCTs conducted within STRENGTHS will be combined into one IPD meta-analytic dataset. The RCTs include Syrian refugees of 18 years and above with elevated psychological distress (Kessler Psychological Distress Scale (K10>15)) and impaired daily functioning (WHO Disability Assessment Schedule 2.0 (WHODAS 2.0>16)). Participants are randomised into the intervention or care as usual control group, and complete follow-up assessments at 1-week, 3-month and 12-month follow-up. Primary outcomes are symptoms of depression and anxiety (25-item Hopkins Symptom Checklist). Secondary outcomes include daily functioning (WHODAS 2.0), PTSD symptoms (PTSD Checklist for DSM-5) and self-identified problems (PSYCHLOPS). We will conduct a one-stage IPD meta-analysis using linear mixed models. Quality of evidence will be assessed using the GRADE approach, and the economic evaluation approach will be assessed using the CHEC-list. Ethics and dissemination Local ethical approval has been obtained for each RCT. This IPD meta-analysis does not require ethical approval. The results of this study will be published in international peer-reviewed journals.
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| 8. |
- Gedebjerg, Anne, et al.
(author)
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CRP, C-Peptide, and Risk of First-Time Cardiovascular Events and Mortality in Early Type 2 Diabetes : A Danish Cohort Study
- 2023
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In: Diabetes Care. - : American Diabetes Association. - 0149-5992 .- 1935-5548. ; 46:5, s. 1037-1045
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Journal article (peer-reviewed)abstract
- We investigated the relationship between hs-CRP, a marker of low-grade inflam-mation, alone or in combination with C-peptide, a marker of hyperinsulinemia/ insulin resistance, and risk for cardiovascular events (CVEs) and mortality in patients recently diagnosed with type 2 diabetes (T2D). RESEARCH DESIGN AND METHODS In patients with recent-onset T2D, we measured serum hs-CRP (n = 7,301) and C-peptide (n = 5,765) in the prospective Danish Centre for Strategic Research in Type 2 Diabetes cohort study. Patients with no prior CVE (n = 6,407) were followed until first myocardial infarction, stroke, coronary revascularization, or cardiovascular death, and all patients (n = 7,301) were followed for all-cause mortality. We com-puted adjusted hazard ratios (aHRs) by Cox regression and tested for the interaction between hs-CRP and C-peptide. RESULTS During follow-up (median 4.8 years), high (>3 mg/L) versus low (<1 mg/L) hs-CRP was associated with increased CVE risk (aHR 1.45 [95% CI 1.07–1.96]) and with even greater risk of all-cause mortality (2.47 [1.88–3.25]). Compared with patients with low hs-CRP (£3 mg/L) and low C-peptide (<1,470 pmol/L), those with high lev-els of both biomarkers had the highest CVE (1.61 [1.10–2.34]) and all-cause mortality risk (2.36 [1.73–3.21]). Among patients with high C-peptide, risk of CVEs did not differ by low or high hs-CRP, whereas risk of all-cause mortality did. CONCLUSIONS The finding of high hs-CRP as a stronger prognostic biomarker of all-cause mortality than of CVEs may facilitate improved early detection and prevention of deadly diseases besides CVEs. Conversely, elevated C-peptide as a strong CVE biomarker sup-ports the need to target hyperinsulinemia/insulin resistance in T2D CVE prevention.
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| 10. |
- Lein Aalberg, Asbjørn, et al.
(author)
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Learning from fires in Norway : Preconditions, barriers and enabling factors
- 2022
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Reports (other academic/artistic)abstract
- Fires are devastating events that may harm humans, properties and the environment. Authorities, organisations, companies and societies should be able to learn from fire incidents to reduce the probability and impact of future fires. To achieve a reduction in fires and their consequences, an effort is needed from multiple actors and both technical, organisational and individual changes would be necessary. Importantly, we therefore consider change as a prerequisite for learning. So how can we as a society change or modify our efforts for prevention and mitigation of fires? A learning approach often starts with some form of inquiry about the occurred accidents – an investigation. This investigation can take many forms: the fire services’ own evaluations of the response to a fire, an authority’s assessments of the compliance and fit of their regulations, a company’s analysis of internal rules and organisation, and the police’s investigation of criminal issues. Investigations require highly skilled professionals using often multidisciplinary skills such as knowledge in human behaviour, fire dynamics, electrical systems, mechanical processes and many more. A fire investigator may use many different techniques and tactics, to figure out how the fire started, what fault led to the fire, what made the fire develop the way it did and, also what factors and measures that worked well in the fire. The investigator can work for the fire service, the police, insurance companies, hired private fire investigators or in larger companies, to mention a few. However, not all fires are investigated in Norway, and there is also a large number of incidents that is concluded with an unknown fire cause. The aim of our research has been to increase the society’s capacity to learn from fires. We have two main objectives contributing to the aim: 1. Obtain knowledge on the preconditions for learning from fires in Norway. 2. Provide recommendations to increase learning from fires in Norway. Leading to these main objectives, we shed light on investigations, examinations, databases and routines related to the different actors, and importantly, the actors’ beliefs, collaboration and practices related to fire prevention and learning. The main corpus of material in this study is interviews with actors relevant for learning from fires in Norway. The informants were from the fire service, the police, educational system, insurance, authorities and organisations with interest in fire safety. The interviews were related to themes like cooperation inside and outside the organisation, resources and databases, how the interviewees see the fire investigation area today and how it should be improved. The findings were then divided into the Pentagon model’s five categories: • formal structure • technology and infrastructure • culture • interaction • relations and network The findings from the interviews and the reasons behind them are extensive and are elaborated upon in the report, but the main points are summarised here. Generally, we see clearly that learning from fires is a complex issue. It does not only encompass obtaining the correct technical insights from a fire scene, but also informal aspects like the personal relations and how the fire services are organised. Further, we see that fire investigation in Norway lack both the quality and quantity needed to obtain sufficient knowledge on fires that occur. The approaches, mandates and focus vary greatly with each actor, and this affects the coordination, cooperation, and systematic work of learning from investigations. High variation can also be found in the fire services’ own evaluations of their own fire-fighting efforts, which leads to regionally different methodology and terminology. This has an additional negative impact on the cooperative work even between fire departments. The cooperation is also varying when it comes to the sharing of knowledge which is prevalent between all actors involved in fire investigation. Little cooperation is formalised and therefore most cooperation on investigation and learning, as well as the sharing of knowledge and experiences, are done through individual and personal relations. This is also true inside the fire services where personal experiences and social learning is preferred to more systematic evaluation of fires and formal education. This creates a potential conflict with efforts of standardising work and learning processes. Lastly the lack of resources in preventive work in fire and rescue services and the police, especially in the investigation phase, hinders the possibility to learn effectively from fires and to convey the experiences from them. The difference in status between preventive and preparedness efforts in these public services is still relevant today.
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