881 research outputs found
Investigation of forestry resources and other remote sensing data. 1: LANDSAT. 2: Remote sensing of volcanic emissions
Computer classification of LANDSAT data was used for forest type mapping in New England. The ability to classify areas of hardwood, softwood, and mixed tree types was assessed along with determining clearcut regions and gypsy moth defoliation. Applications of the information to forest management and locating potential deer yards were investigated. The principal activities concerned with remote sensing of volcanic emissions centered around the development of remote sensors for SO2 and HCl gas, and their use at appropriate volcanic sites. Two major areas were investigated (Masaya, Nicaragua, and St. Helens, Washington) along with several minor ones
An investigation of vegetation and other Earth resource/feature parameters using LANDSAT and other remote sensing data. 1: LANDSAT. 2: Remote sensing of volcanic emissions
There are no author-identified significant results in this report
An investigation of vegetation and other Earth resource/feature parameters using LANDSAT and other remote sensing data. 1: LANDSAT. 2: Remote sensing of volcanic emissions
A fanning technique based on a simplistic physical model provided a classification algorithm for mixture landscapes. Results of applications to LANDSAT inventory of 1.5 million acres of forest land in Northern Maine are presented. Signatures for potential deer year habitat in New Hampshire were developed. Volcanic activity was monitored in Nicaragua, El Salvador, and Guatemala along with the Mt. St. Helens eruption. Emphasis in the monitoring was placed on the remote sensing of SO2 concentrations in the plumes of the volcanoes
Automated continuous monitoring of inorganic and total mercury in wastewater and other waters by flow-injection analysis and cold-vapour atomic absorption spectrometry
An automated continuous monitoring system for the determination of inorganic and total mercury by flow-injection analysis followed by cold-vapour atomic absorption spectrometry is described. The method uses a typical flow-injection manifold where digestion and reduction of the injected sample takes place. Mercury is removed by aeration from the flowing stream in a specially designed air-liquid separator and swept into a silica cell for absorption measurement at a wavelength of 253.7 nm. A calibration curve up to 10 μg Hg ml-1 using three different path length cells is obtained with a detection limit of 0.02 μg Hg ml-1. The sampling rate of an injection every 3 min produces 20 results per hour from a flowing stream
An investigation of vegetation and other earth resource/feature parameters using LANDSAT and other remote sensing data. A: LANDSAT. B: Remote sensing of volcanic emissions
There are no author-identified significant results in this report
An investigation of vegetation and other earth resource/feature parameters using LANDSAT and other remote sensing data. A: LANDSAT. B: Remote sensing of volcanic emissions
There are no author-identified significant results in this report
Evaluating an integrated primary care approach to improve well-being among frail community-living older people
Background: A major challenge in primary healthcare is the substantial increase in the proportion of frail community-dwelling older persons with long-term conditions and multiple complex needs. Consequently, a fundamental transformation of current models of primary care by means of implementing proactive integrated care is necessary. Therefore, an understanding of the effects of integrated primary care approaches and underlying mechanisms is essential. This article presents the design of a theory-based evaluation of an integrated primary care approach to improve well-being among frail community-living older adults, which is called "Finding and Follow-up of Frail older persons" (FFF).
First, we present a theoretical model to facilitate a sound theory-guided evaluation of integrated primary care approaches for frail community-dwelling older people. The model incorporates interrelated elements of integrated primary care approaches (e.g. proactive case finding and self-management support). Efforts to improve primary care should integrate these promising components to assure productive patient-professional interactions and to improve well-being. Moreover, cognitive and behavioral components of healthcare professionals and patients are assumed to be important.
Second, we present the design of the study to evaluate the FFF approach which consists of the following key components: (1) proactive case finding, (2) case management, (3) medication review, (4) self-management support, and (5) working in multidisciplinary care teams.
Methods: The longitudinal evaluation study has a matched quasi-experimental design with one pretest and one posttest (12 month follow-up) and is conducted in the Netherlands between 2014 and 2017. Both quantitative and qualitative methods are used to evaluate effectiveness, processes, and cost-effectiveness. In total, 250 frail older persons (75 years and older) of 11 GP (general practitioner) practices that implemented the FFF approach are compared with 250 frail older patients of 4 GP practices providing care as usual. In addition, data are collected from healthcare professionals. Outcome measures are based on our theoretical model.
Discussion: The proposed evaluation study will reveal insight into the (cost)effectiveness and underlying mechanisms of the proactive integrated primary care approach FFF. A major strength of the study is the comprehensive evaluation b
Effects of an integrated neighborhood approach on older people's (health-related) quality of life and well-being
Background: Integrated neighborhood approaches (INAs) are increasingly advocated to reinforce formal and informal community networks and support community-dwelling older people. They aim to augment older people's self-management abilities and engage informal networks before seeking professional support. INAs' effectiveness however remains unknown. We evaluated an INA's effects on older people's (health-related) quality of life (HRQoL) and well-being in Rotterdam. Methods: We used a matched quasi-experimental design comparing INA with "usual" care and support. Community-dwelling frail older (70+ years) people and frailty- and gender-matched control subjects (n = 186 each) were followed over a 1-year period (measurements at baseline and 6 and 12 months). Primary outcomes were HRQoL (EQ-5D-3L, SF-20) and well-being [social production function instrument for the level of well-being (SPF-IL)]. The effect of INA was analysed using an "intention to treat" and an "as treated" approach. Results: The results indicated that pre-intervention participants had lower incomes and were significantly older, more often single, less educated and more likely to have ≥1 disease than control subjects; they had lower well-being, physical functioning, role functioning, and mental health. Generalized linear mixed modelling of repeated measurements revealed no substantial difference in well-being or HRQoL between the intervention and control group after 1 year. The small differences we did find in the intention to treat group though were in favour of the control subjects (SF-20 = 6.98, 95 % confidence interval [CI] = 2.45-11.52; SPF-IL =.09, 95 % CI =.01-.17). However, the difference in well-being (SPF-IL) disappeared in the as treated analysis. Conclusions: The lack of effects of INA highlights the complexity of integrated care and support initiatives. Barriers associated with meeting the complex, varied needs of frail older people, and those related to dynamic political and social climates challenge initiative effectiveness. Trial registration The research was supported with a grant provided by the Netherlands Organisation for Health Research and Development (ZonMw, project number 314030201) as part of the National Care for the Elderly Programme
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