LANDSAT Digital Data Base Preparation for the Pennsylvania Defoliation Application Pilot Test

A LANDSAT digital mosaic data base for the State of Pennsylvania was prepared for use in the development of an automated system to annually estimate the extent and severity of Gypsy Moth defoliation of hardward forests. The techniques for detecting the defoliation and development of a geographic information system (GIS) to assess damage is being developed jointly by NASA/Goddard Space Flight Center and Pennsylvania State University using the JPL prepared mosaic base. The JPL processing involved the use of ground control points from the Master Data Processor for planimetric control, resampling of the LANDSAT data to 57 x 57 meter pixels, realignment to north, and reprojection to the Universal Transverse Mercator (UTM) projection in UTM zones 17 and 18. The completed mosaic for each UTM zone was subdivided into 1 degree of latitude by 2 degrees of longitude quadrangles for easy data handling. Consideration is given to the issues of mapping standards, sensor and spacecraft platform characteristics, and their implication to geographic information systems operation. Methods for obtaining measures of accuracy for LANDSAT mosaics are reviewed

A feasibility study: Forest Fire Advanced System Technology (FFAST)

The National Aeronautics and Space Administration/Jet Propulsion Laboratory and the United States Department of Agriculture Forest Service completed a feasibility study that examined the potential uses of advanced technology in forest fires mapping and detection. The current and future (1990's) information needs in forest fire management were determined through interviews. Analysis shows that integrated information gathering and processing is needed. The emerging technologies that were surveyed and identified as possible candidates for use in an end to end system include ""push broom'' sensor arrays, automatic georeferencing, satellite communication links, near real or real time image processing, and data integration. Matching the user requirements and the technologies yielded a ""strawman'' system configuration. The feasibility study recommends and outlines the implementation of the next phase for this project, a two year, conceptual design phase to define a system that warrants continued development

An exploration into the client at the heart of therapy : a qualitative perspective

Over 50 years ago Eysenck challenged the existing base of research into psychotherapy. Since that time, a large number of investigations have been conducted to verify the efficacy of therapy. Recently however, an increasing number of studies have cast new doubts on this research base. Instead of therapy being a function of the therapist, it is now becoming ever more apparent that the client plays a prime role in the therapeutic process. The qualitative studies presented in this paper provide some examples of research that demonstrates that clients are actively involved in their therapy, even making counselling work despite their counsellor. These studies suggest that clients may not experience therapy as beneficially as traditional outcome studies indicate. This raises a new challenge to researchers to more fully explore the client's experience of therapy, a challenge to which qualitative methods of inquiry would appear well suited

Identifying which septic patients have increased mortality risk using severity scores:a cohort study

Background: Early aggressive therapy can reduce the mortality associated with severe sepsis but this relies on prompt recognition, which is hindered by variation among published severity criteria. Our aim was to test the performance of different severity scores in predicting mortality among a cohort of hospital inpatients with sepsis. Methods: We anonymously linked routine outcome data to a cohort of prospectively identified adult hospital inpatients with sepsis, and used logistic regression to identify associations between mortality and demographic variables, clinical factors including blood culture results, and six sets of severity criteria. We calculated performance characteristics, including area under receiver operating characteristic curves (AUROC), of each set of severity criteria in predicting mortality. Results: Overall mortality was 19.4% (124/640) at 30 days after sepsis onset. In adjusted analysis, older age (odds ratio 5.79 (95% CI 2.87-11.70) for ≥80y versus <60y), having been admitted as an emergency (OR 3.91 (1.31-11.70) versus electively), and longer inpatient stay prior to sepsis onset (OR 2.90 (1.41-5.94) for >21d versus <4d), were associated with increased 30 day mortality. Being in a surgical or orthopaedic, versus medical, ward was associated with lower mortality (OR 0.47 (0.27-0.81) and 0.26 (0.11-0.63), respectively). Blood culture results (positive vs. negative) were not significantly association with mortality. All severity scores predicted mortality but performance varied. The CURB65 community-acquired pneumonia severity score had the best performance characteristics (sensitivity 81%, specificity 52%, positive predictive value 29%, negative predictive value 92%, for 30 day mortality), including having the largest AUROC curve (0.72, 95% CI 0.67-0.77). Conclusions: The CURB65 pneumonia severity score outperformed five other severity scores in predicting risk of death among a cohort of hospital inpatients with sepsis. The utility of the CURB65 score for risk-stratifying patients with sepsis in clinical practice will depend on replicating these findings in a validation cohort including patients with sepsis on admission to hospital

Migration and multiple sclerosis in immigrants to Australia from United Kingdom and Ireland: a reassessment. I. Risk of MS by age at immigration

A previous study of the prevalence of multiple sclerosis (MS) in 1981 among immigrants from the United Kingdom and Ireland to Australia found that the prevalence for those with age at immigration (AAI) under 15 years of age did not differ from the older immigrants. We have reanalysed the original materials as well as census data for 1901–1981 for UKI and other high MS risk country immigrants. There was a highly significant trend in the prevalence rates of all Australians from New South Wales (NSW) to South Australia (SA) to Western Australia (WA) to Queensland (QLD). Rates by state among the Australian-born were almost identical to these, but there was no prevalence gradient for the UKI-born. The denominator population at risk of MS by AAI was calculated from special census tables of length of residence in Australia by age 0–79 in 1981 for UKI immigrants 1947–1981. The numerator was limited to the subset of 258 MS (Group II) also immigrating in 1947 and later, and age 0–79 in 1981. The absolute risk of MS for these migrants to the four states entering at age 0–14 was 22/100,000, significantly less than for all older age groups; age 15–39 immigrants had a risk of 54/100,000. Similar risk ratios for 0–14 versus 15–39 by state were 31 versus 61 (NSW), 29 versus 44 (QLD), 11 versus 50 (SA), 15 versus 51 (WA)

The development of the forms of responding to self-critical thoughts Scale (FoReST)

Background: Self-critical thoughts are a feature of many mental health problems. Adopting a psychologically flexible response to thoughts has been highlighted as a key determinant of wellbeing. But, the measurement of psychological flexibility (PF) in relation to self-critical thoughts is under-developed. This paper reports on the development of the Forms of Responding to Self-Critical Thoughts Scale (FoReST). Method: Study One involved the development and exploratory factor analysis of the FoReST in a convenience sample of 253 non-clinical adults. Study Two was a confirmatory factor analysis study of the FoReST in a sample of 110 University students. Study 3 explored the convergent and concurrent validity of the FoReST by examining associations with measures of similar constructs (PF, self-compassion, self-criticism) and relevant mental health measures (anxiety, depression, distress). Study 3 also explored the FoReST’s incremental validity for predicting depression and anxiety levels beyond an established measure of self-critical thinking. Results: In Study One, exploratory factor analysis produced a 9-item/2-factor solution (unworkable action and mindful acceptance). The measure demonstrated good internal consistency. In Study 2, the confirmatory factor analysis also indicated a 2-factor model (unworkable action and mindful acceptance) and overall internal consistency that was excellent. In Study Three, the FoReST demonstrated high convergent validity with similar measures, and good concurrent validity with mental health outcomes. Analyses also indicated good incremental validity for the FoReST for predicting HADS depression and anxiety scores. Conclusions: The FoReST appears to be a psychometrically sound measure suitable for measuring change processes in third wave therapies such as Acceptance and Commitment Therapy, Mindfulness-based Interventions and Compassion Focused therapy

Measuring Success in Interorganizational Information Systems: A Case Study

We report results of a longitudinal case study in which an emergency medical service replaced a paper-based medical record with an electronic medical record system. The new systems electronically transmitted patient information to various other agencies for reporting, medical quality control, and billing purposes. As expected, the time required for the paramedics to document the medical record increased immediately after system implementation. As a result, operational performance of the paramedics declined. An unexpected consequence of system implementation was that operational performance never reached the level achieved prior to system implementation. However, the benefits attained by all organizations involved outweighed the prolonged decrease in operational performance of the paramedics. Therefore, we advise organizations implementing technology crossing organizational boundaries to consider both the direct and indirect benefits of a system implementation and to evaluate both operational and organizational performance

Generational research: between historical and sociological imaginations

This paper reflects on Julia Brannen’s contribution to the development of theory and methods for intergenerational research. The discussion is contextualised within a contemporary ‘turn to time’ within sociology, involving tensions and synergies between sociological and historical imagination. These questions are informed by a juxtaposition of Brannen’s four-generation study of family change and social historian Angela Davis’s exploration women and the family in England between 1945 and 2000. These two studies give rise to complementary findings, yet have distinctive orientations towards the status and treatment of sources, the role of geography in research design and limits of generalisatio