Building a functional, integrated GIS/remote sensing resource analysis and planning system

To be an effective tool for resource analysis and planning, a geographic information system (GIS) needs to be integrated with a digital remote sensing capability. To be truly functional, the paired system must be driven by grass roots local needs. A case study couched in a Soil Conservation District in northern Utah is presented. Agency representatives determined that the most fundamental data sets to be entered into the GIS system analysis system in the first round were: land use/land cover; geomorphic/soil unit data; hydrologic unit data; and digital terrain. The least expensive and best ways to obtain these data were determined. Data were acquired and formatted to enter the state's PRIME/ARC-INFO GIS, and are being interrogated for resource management decisions related to such issues as agricultural preservation, urban expansion, soil erosion control, and dam siting

Enviropod handbook: A guide to preparation and use of the Environmental Protection Agency's light-weight aerial camera system

The use of the Environmental Protection Agency (EPA) Enviropod camera system is detailed in this handbook which contains a step-by-step guide for mission planning, flights, film processing, indexing, and documentation. Information regarding Enviropod equipment and specifications is included

Detecting agricultural to urban land use change from multi-temporal MSS digital data

Conversion of agricultural land to a variety of urban uses is a major problem along the Wasatch Front, Utah. Although LANDSAT MSS data is a relatively coarse tool for discriminating categories of change in urban-size plots, its availability prompts a thorough test of its power to detect change. The procedures being applied to a test area in Salt Lake County, Utah, where the land conversion problem is acute are presented. The identity of land uses before and after conversion was determined and digital procedures for doing so were compared. Several algorithms were compared, utilizing both raw data and preprocessed data. Verification of results involved high quality color infrared photography and field observation. Two data sets were digitally registered, specific change categories internally identified in the software, results tabulated by computer, and change maps printed at 1:24,000 scale

An integrated LANDSAT/ancillary data classification of desert rangeland

Range inventorying methods using LANDSAT MSS data, coupled with ancillary data were examined. The study area encompassed nearly 20,000 acres in Rush Valley, Utah. The vegetation is predominately desert shrub and annual grasses, with some annual forbs. Three LANDSAT scenes were evaluated using a Kauth-Thomas brightness/greenness data transformation (May, June, and August dates). The data was classified using a four-band maximum-likelihood classifier. A print map was taken into the field to determine the relationship between print symbols and vegetation. It was determined that classification confusion could be greatly reduced by incorporating geomorphic units and soil texture (coarse vs fine) into the classification. Spectral data, geomorphic units, and soil texture were combined in a GIS format to produce a final vegetation map identifying 12 vegetation types

Views and experiences of managing eczema:systematic review and thematic synthesis of qualitative studies*

Background: The number of qualitative studies on eczema has increased rapidly in recent years. Systematically reviewing these can provide greater understandings of people’s perceptions of eczema and eczema treatments. Objectives: We sought to systematically review and thematically synthesize qualitative studies exploring views and experiences of people with eczema and parents/carers of children with eczema. Methods: We searched MEDLINE, EMBASE, PsycINFO and CINAHL from the earliest date available to February 2019. We selected papers focusing on views and experiences of eczema and eczema treatments, and barriers/facilitators to eczema self-management. We excluded papers focusing on health service provision models or health professionals’ views. Results: We synthesized 39 papers (reporting 32 studies) from 13 countries. We developed four analytical themes: (1) Eczema not viewed as a long-term condition; (2) Significant psychosocial impact not acknowledged by others; (3) Hesitancy (patient/carer uncertainty) about eczema treatments; and (4) Insufficient information and advice. Our findings suggest that people with eczema and their carers experience frustration at having to manage a condition that is often seen by others as mundane but has significant psychosocial impact and is difficult to manage due to concerns about, and burden of, treatment. This frustration can be exacerbated by experiences of conflicting and/or insufficient information and advice from health professionals, family and others. Conclusions: Effective self-management of eczema could be supported by addressing beliefs and concerns about treatments; seeking positive ways to promote a ‘control not cure’ message; acknowledging psychosocial impacts of eczema and treatment burden; and providing clear consistent advice or signposting towards reliable information.</p

How can community pharmacists be supported to manage skin conditions? A multi-stage stakeholder research prioritisation exercise.

ObjectiveTo establish research priorities which will support the development and delivery of community pharmacy initiatives for the management of skin conditions.DesignAn iterative, multi-stage stakeholder consultation consisting of online survey, participant workshops, and prioritisation meeting.SettingAll data collection took place online with participants completing a survey (delivered via the JISC Online Survey platform, between July 2021 and January 2022) and participating in online workshops and meetings (hosted on Microsoft Teams between April and July 2022).Participants174 community pharmacists and pharmacy staff completed the online survey. 53 participants participated in the exploratory workshops (19 community pharmacists, 480 non pharmacist members of pharmacy staff and 30 members of the public). 4 healthcare professionals who were unable to attend a workshop participated in a one-to-one interview. 29 participants from the workshops took part in the prioritisation meeting (584 pharmacists/pharmacy staff, 1 other healthcare professional, and 23 members of the public).ResultsFive broad areas of potential research need were identified in the online survey: (1) identifying and diagnosing skin conditions; (2) skin conditions in skin of colour; (3) when to refer skin conditions; (4) disease specific concerns; and (5) product specific concerns. These were explored and refined in the workshops to establish ten potential areas for research which will support pharmacists in managing skin conditions. These were ranked in the prioritisation meeting. Amongst those prioritised were topics which consider how pharmacists work with other healthcare professionals to identify and manage skin conditions.ConclusionsSurvey responses and stakeholder workshops all recognised the potential for community pharmacists to play an active role in the management of common skin conditions. Future research may support this in the generation of resources for pharmacists, in encouraging public take-up of pharmacy services, and in evaluating the most effective provision for dealing with skin conditions.STRENGTHS AND LIMITATIONS• Novel exploration of the research needs associated with the care of skin conditions within community pharmacy.• An iterative, multi-stage consultation ensured detailed insight about the topic.• The involvement of pharmacists, pharmacy staff, healthcare professionals and members of the public ensured that all pertinent voices were heard.• Participants were self-selecting and may have had a particular interest/perspective upon skin conditions.• Greater participation from pharmacists in the prioritisation workshops may have been beneficial

Choice of Moisturiser for Eczema Treatment (COMET):feasibility study of a randomised controlled parallel group trial in children recruited from primary care

OBJECTIVES: To determine the feasibility of a randomised controlled trial of ‘leave on’ emollients for children with eczema. DESIGN: Single-centre, pragmatic, 4-arm, observer-blinded, parallel, randomised feasibility trial. SETTING: General practices in the UK. PARTICIPANTS: Children with eczema aged 1 month to <5 years. OUTCOME MEASURES: Primary outcome—proportion of parents who reported use of the allocated study emollient every day for the duration of follow-up (12 weeks). Other feasibility outcomes—participant recruitment and retention, data collection and completeness and blinding of observers to allocation. INTERVENTIONS: Aveeno lotion, Diprobase cream, Doublebase gel, Hydromol ointment. RESULTS: 197 children were recruited—107 by self-referral (mainly via practice mail-outs) and 90 by inconsultation (clinician consenting and randomising) pathways. Participants recruited inconsultation were younger, had more severe Patient-Oriented Eczema Measure scores and were more likely to withdraw than self-referrals. Parents of 20 (10%) of all the randomised participants reported using the allocated emollient daily for 84 days. The use of other non-study emollients was common. Completeness of data collected by parent-held daily diaries and at monthly study visits was good. Daily diaries were liked (81%) but mainly completed on paper rather than via electronic (‘app’) form. Major costs drivers were general practitioner consultations and eczema-related prescriptions. Observer unblinding was infrequent, and occurred at the baseline or first follow-up visit through accidental disclosure. CONCLUSIONS: It is feasible in a primary care setting to recruit and randomise young children with eczema to emollients, follow them up and collect relevant trial data, while keeping observers blinded to their allocation. However, reported use of emollients (study and others) has design implications for future trials. TRIAL REGISTRATION NUMBER: ISRCTN21828118/EudraCT2013-003001-26

A mixed methods systematic review of digital interventions to support the psychological health and well-being of people living with dermatological conditions

Background: Dermatological conditions can have a substantial impact on psychological as well as physical health yet dedicated face-to-face psychological support for patients is lacking. Thus, individuals may require additional support to self-manage dermatological conditions effectively. Digital technology can contribute to long-term condition management, but knowledge of the effectiveness of digital interventions addressing psychological (cognitive, emotional, and behavioural) aspects of dermatological conditions is limited. Objectives: To identify, determine the effectiveness, and explore people’s views and experiences of digital interventions supporting the psychological health of people with dermatological conditions. Methods: A mixed methods systematic review informed by JBI methodology. The protocol was registered on PROSPERO. Eight electronic databases were searched for papers written between January 2002 and October 2021. Data screening and extraction were conducted in Covidence. The methodological quality of studies were scrutinised against JBI critical appraisal tools. Intervention characteristics were captured using the Template for Intervention Description and Replication checklist and guide. Data were synthesised using a convergent segregated approach. The results were reported in a narrative summary. Results: Twenty-three papers were identified from 4,883 references, including 15 randomised controlled trials. Nineteen interventions were condition-specific, 13 were delivered online, 16 involved an educational component, and 7 endorsed established, evidence-based therapeutic approaches. Improvements in knowledge, mood, quality of life, the therapeutic relationship, and reduced disease severity in the short to medium term, were reported, although there was substantial heterogeneity within the literature. Thirteen studies captured feedback from users, who considered various digital interventions as convenient and helpful for improving knowledge, emotion regulation, and personal control, but technical and individual barriers to use were reported. Use of established qualitative methodologies was limited and, in some cases, poorly reported. Conclusion: Some web-based digital psychological interventions seem to be acceptable to people living with mainly psoriasis and eczema. Whilst some digital interventions benefitted cognitive and emotional factors, heterogeneity and inconsistencies in the literature meant definitive statements about their effectiveness could not be drawn. Interdisciplinary and patient-centred approaches to research are needed to develop and test quality digital interventions supporting the psychological health of adults living with common and rare dermatological conditions