There is a requirement for developing long-term strategic asset management plans that are resilient to future needs while ensuring efficient and robust service delivery. Developing such a holistic long-term approach will require adoption of robust, flexible and multifunctional solutions that not only suit the needs of the present but also are safe, secure and resilient to whatever the future may hold. This establishes a case for support to develop systems and frameworks that can enable asset owners, government organisation and other decision makers to make informed decisions for adopting such solutions. This paper presents a methodology for developing such a decision support framework, which tests the resilience of transportation design solutions in light of changing socio-economic, technological, environmental and political conditions into the future and enables strategic decision makers to evaluate the resilience potential of the proposed asset management solutions in light of these future conditions.
The concept of sustainability and resilience has gained significant importance in the recent years in the infrastructure engineering industry. Key challenges currently faced by the infrastructure industry worldwide include obsolescence, growing demands, climate change, increased vulnerability, demand for multi-functionality and growing interdependencies between different asset types. With the recent changes in the economic, social and environmental scenarios, there is an increasing pressure to develop robust, flexible and multifunctional asset management solutions that not only suit the needs of present but also ensure that they are safe, secure and resilient to what the future may hold. Ultimately all infrastructure assets interact with the ground and their integrity relies substantially on the performance of geotechnical assets. Hence, making geotechnical asset management a critical starting point in future-proofing the infrastructure network.The paper highlights the need to devise resilient asset management solutions. The paper focuses on two transport modes namely highways and railways and aims to present an asset management framework, which will test the resiliency of current geotechnical solutions to the plausible conditions of the future. The proposed asset management framework will enable strategic decision makers to evaluate the resilience potential of proposed geotechnical asset management solutions in the light of future conditions with varying socio-economic and environmental patterns.
Background: Patients with Diabetes Mellitus are more prone to Urinary tract infection (UTI) than non-diabetic patients. Diabetes Mellitus has certain negative effects on the genital system and increases the incidence of urinary tract infection in diabetic patients. Design: Record based retrospective study. Methods: Records of patients with type-II diabetes having symptoms of UTI were reviewed from August 2021 to January 2022. Result: Out of 210 diabetic patients, the UTI rate was higher in females 59% than male 41%. The most common agents for causing UTI were E.coli followed by Pseudomonas aeruginosa, Klebsiella spp., Candida albicans and Candida non-albicans, Enterococcus, S.aureus and other organisms. About 70.68% Gram-negative isolates were resistant against ampicillin, 75.17% resistant against gentamycin, and 48.16% resistant against amoxicillin-clavulanic acid. Gram-positive isolates were 83.33% resistant against penicillin and 83.33% resistant against ciprofloxacin. However, both gram-negative and gram-positive were susceptible to nitrofurantoin. The overall multidrug resistance was observed in 201 out of 210 (95.71%) bacterial and candiduria isolates, while 3.33% of the isolates were resistant to one only antibiotic. Conclusion: Most common etiological agent is E.coli with high drug resistance to ampicillin and susceptible to nitrofurantoin. Therefore, performing urine culture and regular monitoring of UTI is essential.
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