Treatment Motivation Differences between Minnesota and Methadone Program Patients with Substance Use Disorder in Latvia

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In-scene LWIR downwelling radiance estimation

Effective hyperspectral thermal infrared imaging requires accurate atmospheric compensation to convert the measured at-sensor radiance to the ground radiance. The ground radiance consists of the thermal emission of the material and the reflected downwelling radiance. An accurate estimate of the downwelling radiance is required for temperature-emissivity separation (TES) to remove the spectrally sharp reflected atmospheric effects and retrieve a smooth and accurate material emissivity to use for detection. Determination of the downwelling radiance is difficult due to the fact that a down-looking sensor has no knowledge of the atmospheric properties above its line of sight. As the sensor altitude increases and more of the atmospheric emitters are below the sensor, a relationship forms between the upwelling and downwelling radiances. This relationship comes at the expense of increased pixel size, which increases the likelihood of mixed pixels and nonlinear spectral mixing. In this paper improvements to methods used to estimate the downwelling radiance of low altitude collections are proposed. The ground radiances of reflective pixels are used to estimate the atmosphere above the sensor. The reflective pixels are identified from their sharp atmospheric spectral features. Using the assumption that emissivity spectra are smooth across the narrow reflected atmospheric downwelling radiance features, the temperatures and emissivities are then separated for the reflective pixels using a look-up-table of downwelling radiances. The downwelling radiance that provides the best overall fit for the reflective pixels is then chosen as the scene downwelling radiance.United States. Air Force Research Laboratory (Air Force Contract #FA8721-05-C-0002

A Cognitive Model of an Epistemic Community: Mapping the Dynamics of Shallow Lake Ecosystems

We used fuzzy cognitive mapping (FCM) to develop a generic shallow lake ecosystem model by augmenting the individual cognitive maps drawn by 8 scientists working in the area of shallow lake ecology. We calculated graph theoretical indices of the individual cognitive maps and the collective cognitive map produced by augmentation. The graph theoretical indices revealed internal cycles showing non-linear dynamics in the shallow lake ecosystem. The ecological processes were organized democratically without a top-down hierarchical structure. The steady state condition of the generic model was a characteristic turbid shallow lake ecosystem since there were no dynamic environmental changes that could cause shifts between a turbid and a clearwater state, and the generic model indicated that only a dynamic disturbance regime could maintain the clearwater state. The model developed herein captured the empirical behavior of shallow lakes, and contained the basic model of the Alternative Stable States Theory. In addition, our model expanded the basic model by quantifying the relative effects of connections and by extending it. In our expanded model we ran 4 simulations: harvesting submerged plants, nutrient reduction, fish removal without nutrient reduction, and biomanipulation. Only biomanipulation, which included fish removal and nutrient reduction, had the potential to shift the turbid state into clearwater state. The structure and relationships in the generic model as well as the outcomes of the management simulations were supported by actual field studies in shallow lake ecosystems. Thus, fuzzy cognitive mapping methodology enabled us to understand the complex structure of shallow lake ecosystems as a whole and obtain a valid generic model based on tacit knowledge of experts in the field.Comment: 24 pages, 5 Figure

Measures of outcome for stimulant trials: ACTTION recommendations and research agenda

BACKGROUND: The development and approval of an efficacious pharmacotherapy for stimulant use disorders has been limited by the lack of a meaningful indicator of treatment success, other than sustained abstinence. METHODS: In March, 2015, a meeting sponsored by Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities, and Networks (ACTTION) was convened to discuss the current state of the evidence regarding meaningful outcome measures in clinical trials for stimulant use disorders. Attendees included members of academia, funding and regulatory agencies, pharmaceutical companies, and healthcare organizations. The goal was to establish a research agenda for the development of a meaningful outcome measure that may be used as an endpoint in clinical trials for stimulant use disorders. RESULTS AND CONCLUSIONS: Based on guidelines for the selection of clinical trial endpoints, the lessons learned from prior addiction clinical trials, and the process that led to identification of a meaningful indicator of treatment success for alcohol use disorders, several recommendations for future research were generated. These include a focus on the validation of patient reported outcome measures of functioning, the exploration of patterns of stimulant abstinence that may be associated with physical and/or psychosocial benefits, the role of urine testing for validating self-reported measures of stimulant abstinence, and the operational definitions for reduction-based measures in terms of frequency rather than quantity of stimulant use. These recommendations may be useful for secondary analyses of clinical trial data, and in the design of future clinical trials that may help establish a meaningful indicator of treatment success

Exploring the quotidian in young children's lives at home

The challenges of conducting research in the home, especially with preschool children, mean that the role of the home as a site for research is often overlooked by educationalists. Our repeat visits to fourteen families that included a three- or four-year-old child over more than a year as part of our study “Young Children Learning with Toys and Technology at Home” enabled us to develop research relationships that resulted in a 100 percent retention rate. We summarize the ecocultural framework that informed the design of our study and describe two methods for collecting data (“toy tours” and “mobile phone diaries”) that highlight issues relating to the rules of engagement when conducting research that generates insights into children’s everyday lives at home

Strategies to facilitate integrated care for people with alcohol and other drug problems: a systematic review

Background: There is a growing body of research highlighting the potential benefits of integrated care as a way of addressing the needs of people with alcohol and other drug (AOD) problems, given the broad range of other issues clients often experience. However, there has been little academic attention on the strategies that treatment systems, agencies and clinicians could implement to facilitate integrated care. Methods: We synthesised the existing evidence on strategies to improve integrated care in an AOD treatment context by conducting a systematic review of the literature. We searched major academic databases for peer-reviewed articles that evaluated strategies that contribute to integrated care in an AOD context between 1990 and 2014. Over 2600 articles were identified, of which 14 met the study inclusion criteria of reporting on an empirical study to evaluate the implementation of integrated care strategies. The types of strategies utilised in included articles were then synthesised. Results: We identified a number of interconnected strategies at the funding, organisational, service delivery and clinical levels. Ensuring that integrated care is included within service specifications of commissioning bodies and is adequately funded was found to be critical in effective integration. Cultivating positive inter-agency relationships underpinned and enabled the implementation of most strategies identified. Staff training in identifying and responding to needs beyond clinicians' primary area of expertise was considered important at a service level. However, some studies highlight the need to move beyond discrete training events and towards longer term coaching-type activities focussed on implementation and capacity building. Sharing of client information (subject to informed consent) was critical for most integrated care strategies. Case-management was found to be a particularly good approach to responding to the needs of clients with multiple and complex needs. At the clinical level, screening in areas beyond a clinician's primary area of practice was a common strategy for facilitating referral and integrated care, as was joint care planning. Conclusion: Despite considerable limitations and gaps in the literature in terms of the evaluation of integrated care strategies, particularly between AOD services, our review highlights several strategies that could be useful at multiple levels. Given the interconnectedness of integrated care strategies identified, implementation of multi-level strategies rather than single strategies is likely to be preferable