WorldWideScience

Sample records for integrated primary land

  1. Avoiding integrity land mines.

    Science.gov (United States)

    Heineman, Ben W

    2007-04-01

    How does a large multinational keep thousands of employees, operating in hundreds of countries, honest in a high-pressure business environment? As the chief legal officer at General Electric for nearly 20 years, Ben Heineman was part of the senior management group that sought to do just that--to make sure its executives and employees are moved to do the right thing as strongly as they are motivated to make their numbers. Heineman describes a set of systems that combine the communication of clear expectations with oversight, deterrence, and incentives. Nowhere are the expectations higher--and the sanctions more powerful--than for top executives. Heineman recounts example after example of senior leaders terminated for ethical lapses even when the business consequences of doing so were painful--and even when they had no direct knowledge of the violations occurring on their watch. To make expectations clear throughout the company, GE has systematically sought to set uniform standards that stay well ahead of current legal developments and stakeholders' changing attitudes about corporate accountability. Responsibility for implementing those standards, which are embedded in GE's operating practices, rests with the business leaders in the field. Oversight is both methodical and multifaceted. A host of auditing and assessment systems enables GE to compare the performance of its various business units against one another and against industry benchmarks. Perhaps the most powerful is the company's ombudsman system, which doesn't just allow but requires employees to lodge concerns. Failures to report into the system or up the line, or retaliation in any form, are firing offenses. The current intense focus on board-level governance has missed the point, Heineman argues. It is time to shift the debate from board oversight of the CEO to how top company leaders can most effectively infuse integrity at all levels of the corporation.

  2. developing a one stop shop model for integrated land information

    African Journals Online (AJOL)

    DEPT OF AGRICULTURAL ENGINEERING

    which will integrate the data on land ownership, land use and land value for all the land agen- ... services to the investor and other potential clients of land sector agencies involved in the land ..... account types such as a general user, re-.

  3. The Integrated Assessment of Land Degradation

    Directory of Open Access Journals (Sweden)

    Luca Salvati

    Full Text Available This paper reviews recent findings on the complex field of land degradation (LD with focus on the Mediterranean Basin and Italy, in particular. The LD definition and assessment methods are examined in the light of the most important natural and human driving forces of the phenomenon, such as land use and climate changes.Various methodological issues are dealt with from multidisciplinary perspective with the aim of providing the ground for the development of integrated approaches: monitoring needs, assessment of costs, development of mitigation strategies, etc. Factors affecting land vulnerability to degradation are classified into bio-physical and socio-economic drivers with some examples of applications in Italy. The role of determinants such as agricultural development, population growth, and urban sprawl is recognised as important but still ambiguous and thus needs further studies. Based on these findings, policy responses aimed at mitigating LD and thus reducing desertification risk are discussed and methodological proposal are presented.

  4. Integrated modelling of anthropogenic land-use and land-cover change on the global scale

    Science.gov (United States)

    Schaldach, R.; Koch, J.; Alcamo, J.

    2009-04-01

    In many cases land-use activities go hand in hand with substantial modifications of the physical and biological cover of the Earth's surface, resulting in direct effects on energy and matter fluxes between terrestrial ecosystems and the atmosphere. For instance, the conversion of forest to cropland is changing climate relevant surface parameters (e.g. albedo) as well as evapotranspiration processes and carbon flows. In turn, human land-use decisions are also influenced by environmental processes. Changing temperature and precipitation patterns for example are important determinants for location and intensity of agriculture. Due to these close linkages, processes of land-use and related land-cover change should be considered as important components in the construction of Earth System models. A major challenge in modelling land-use change on the global scale is the integration of socio-economic aspects and human decision making with environmental processes. One of the few global approaches that integrates functional components to represent both anthropogenic and environmental aspects of land-use change, is the LandSHIFT model. It simulates the spatial and temporal dynamics of the human land-use activities settlement, cultivation of food crops and grazing management, which compete for the available land resources. The rational of the model is to regionalize the demands for area intensive commodities (e.g. crop production) and services (e.g. space for housing) from the country-level to a global grid with the spatial resolution of 5 arc-minutes. The modelled land-use decisions within the agricultural sector are influenced by changing climate and the resulting effects on biomass productivity. Currently, this causal chain is modelled by integrating results from the process-based vegetation model LPJmL model for changing crop yields and net primary productivity of grazing land. Model output of LandSHIFT is a time series of grid maps with land-use/land-cover information

  5. Six elements of integrated primary healthcare.

    Science.gov (United States)

    Brown, Lynsey J; Oliver-Baxter, Jodie

    2016-03-01

    Integrated care has the potential to deliver efficiencies and improvements in patient experiences and health outcomes. Efforts towards integrated care, especially at the primary and community health levels, have increasingly been under focus, both nationally and internationally. In Australia, regional integration is a priority, and integration of care is a task for meso-level organisations such as Primary Health Networks (PHNs). This paper seeks to provide a list of elements and questions for consideration by organisations working across primary healthcare settings, looking to enact and improve the delivery of integrated care. Six elements that consistently emerged during the development of a series of rapid reviews on integrated primary healthcare in Australia are presented in this paper. The elements identified are context, governance and leadership, infrastructure, financing, engagement, and communication. They offer a starting point for reflection in the planning and practices of organisations in their drive for continuous improvements in integrated care.

  6. SESSION V: INTEGRATED APPROACHES IN LAND AND WATER ...

    African Journals Online (AJOL)

    SESSION V: INTEGRATED APPROACHES IN LAND AND WATER MANAGEMENT RESEARCH/LAND AND WATER MANAGEMENT ECONOMICS AND POLICY - Socioeconomic implications of improved forage species on smallholder farms in Kenya.

  7. Integrating fire management analysis into land management planning

    Science.gov (United States)

    Thomas J. Mills

    1983-01-01

    The analysis of alternative fire management programs should be integrated into the land and resource management planning process, but a single fire management analysis model cannot meet all planning needs. Therefore, a set of simulation models that are analytically separate from integrated land management planning models are required. The design of four levels of fire...

  8. Predicting freshwater habitat integrity using land-use surrogates

    African Journals Online (AJOL)

    2007-04-02

    Apr 2, 2007 ... Quantification of potential surrogates of freshwater habitat integrity. We chose a series of land-use variables that might be suitable predictors for assessing freshwater habitat integrity from the land cover map (CSIR 2005) and added separate GIS surfaces for human population density and the distribution of ...

  9. Privatization of Land Plot Under Integral Real Estate Complex

    Directory of Open Access Journals (Sweden)

    Maruchek A. A.

    2014-10-01

    Full Text Available The article deals with the questions concerning the privatization of a land plot under integral real estate complex. The authors come to conclusion that a number of legislation norms relating to privatization of a land plot do not take into account the construction of an integral real estate complex that could cause some problems in the realization of the right to privatization of the land plot

  10. Interprofessional Competencies in Integrative Primary Healthcare

    Science.gov (United States)

    Brooks, Audrey J.; Maizes, Victoria; Goldblatt, Elizabeth; Klatt, Maryanna; Koithan, Mary S.; Kreitzer, Mary Jo; Lee, Jeannie K.; Lopez, Ana Marie; McClafferty, Hilary; Rhode, Robert; Sandvold, Irene; Saper, Robert; Taren, Douglas; Wells, Eden; Lebensohn, Patricia

    2015-01-01

    In October 2014, the National Center for Integrative Primary Healthcare (NCIPH) was launched as a collaboration between the University of Arizona Center for Integrative Medicine and the Academic Consortium for Integrative Health and Medicine and supported by a grant from the Health Resources and Services Administration. A primary goal of the NCIPH is to develop a core set of integrative healthcare (IH) competencies and educational programs that will span the interprofessional primary care training and practice spectra and ultimately become a required part of primary care education. This article reports on the first phase of the NCIPH effort, which focused on the development of a shared set of competencies in IH for primary care disciplines. The process of development, refinement, and adoption of 10 “meta-competencies” through a collaborative process involving a diverse interprofessional team is described. Team members represent nursing, the primary care medicine professions, pharmacy, public health, acupuncture, naturopathy, chiropractic, nutrition, and behavioral medicine. Examples of the discipline-specific sub-competencies being developed within each of the participating professions are provided, along with initial results of an assessment of potential barriers and facilitators of adoption within each discipline. The competencies presented here will form the basis of a 45-hour online curriculum produced by the NCIPH for use in primary care training programs that will be piloted in a wide range of programs in early 2016 and then revised for wider use over the following year. PMID:26421232

  11. Land degradation and integrated watershed management in India

    Directory of Open Access Journals (Sweden)

    Suraj Bhan

    2013-06-01

    Government of India has launched various centre-sector, state-sector and foreign aided schemes for prevention of land degradation, reclamation of special problem areas for ensuring productivity of the land, preservation of land resources and improvement of ecology and environment. These schemes are being implemented on watershed basis in rainfed areas. Soil conservation measures and reclamation of degraded lands are decided considering the land capability and land uses. The efforts made so far resulted in enhancement of agricultural production and productivity of lands, increase in employment generation, improving the environment of the areas and socio-economic upgradation of the people. Integrated watershed management approach has been adopted as a key national strategy for sustainable development of rural areas. This has been proved by conducting monitoring and impact evaluation studies of the integrated watershed projects by external agencies.

  12. Integrated primary health care in Australia

    Directory of Open Access Journals (Sweden)

    Gawaine Powell Davies

    2009-10-01

    Full Text Available Introduction: To fulfil its role of coordinating health care, primary health care needs to be well integrated, internally and with other health and related services. In Australia, primary health care services are divided between public and private sectors, are responsible to different levels of government and work under a variety of funding arrangements, with no overarching policy to provide a common frame of reference for their activities. Description of policy: Over the past decade, coordination of service provision has been improved by changes to the funding of private medical and allied health services for chronic conditions, by the development in some states of voluntary networks of services and by local initiatives, although these have had little impact on coordination of planning. Integrated primary health care centres are being established nationally and in some states, but these are too recent for their impact to be assessed. Reforms being considered by the federal government include bringing primary health care under one level of government with a national primary health care policy, establishing regional organisations to coordinate health planning, trialling voluntary registration of patients with general practices and reforming funding systems. If adopted, these could greatly improve integration within primary health care. Discussion: Careful change management and realistic expectations will be needed. Also other challenges remain, in particular the need for developing a more population and community oriented primary health care.

  13. Integrated primary health care in Australia.

    Science.gov (United States)

    Davies, Gawaine Powell; Perkins, David; McDonald, Julie; Williams, Anna

    2009-10-14

    To fulfil its role of coordinating health care, primary health care needs to be well integrated, internally and with other health and related services. In Australia, primary health care services are divided between public and private sectors, are responsible to different levels of government and work under a variety of funding arrangements, with no overarching policy to provide a common frame of reference for their activities. Over the past decade, coordination of service provision has been improved by changes to the funding of private medical and allied health services for chronic conditions, by the development in some states of voluntary networks of services and by local initiatives, although these have had little impact on coordination of planning. Integrated primary health care centres are being established nationally and in some states, but these are too recent for their impact to be assessed. Reforms being considered by the federal government include bringing primary health care under one level of government with a national primary health care policy, establishing regional organisations to coordinate health planning, trialling voluntary registration of patients with general practices and reforming funding systems. If adopted, these could greatly improve integration within primary health care. Careful change management and realistic expectations will be needed. Also other challenges remain, in particular the need for developing a more population and community oriented primary health care.

  14. On Solid Ground: Science, Technology, and Integrated Land ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    The Commission's Panel on Integrated Land Management was convened to explore how science and technology could contribute to the overall discussion of land management as part of the review by the Commission on Sustainable Development of the follow-up to the 1992 United Nations Conference on Environment and ...

  15. Evaluation of historical land cover, land use, and land-use change emissions in the GCAM integrated assessment model

    Science.gov (United States)

    Calvin, K. V.; Wise, M.; Kyle, P.; Janetos, A. C.; Zhou, Y.

    2012-12-01

    Integrated Assessment Models (IAMs) are often used as science-based decision-support tools for evaluating the consequences of climate and energy policies, and their use in this framework is likely to increase in the future. However, quantitative evaluation of these models has been somewhat limited for a variety of reasons, including data availability, data quality, and the inherent challenges in projections of societal values and decision-making. In this analysis, we identify and confront methodological challenges involved in evaluating the agriculture and land use component of the Global Change Assessment Model (GCAM). GCAM is a global integrated assessment model, linking submodules of the regionally disaggregated global economy, energy system, agriculture and land-use, terrestrial carbon cycle, oceans and climate. GCAM simulates supply, demand, and prices for energy and agricultural goods from 2005 to 2100 in 5-year increments. In each time period, the model computes the allocation of land across a variety of land cover types in 151 different regions, assuming that farmers maximize profits and that food demand is relatively inelastic. GCAM then calculates both emissions from land-use practices, and long-term changes in carbon stocks in different land uses, thus providing simulation information that can be compared to observed historical data. In this work, we compare GCAM results, both in recent historic and future time periods, to historical data sets. We focus on land use, land cover, land-use change emissions, and albedo.

  16. Spatial integration in mouse primary visual cortex

    OpenAIRE

    Vaiceliunaite, Agne; Erisken, Sinem; Franzen, Florian; Katzner, Steffen; Busse, Laura

    2013-01-01

    Responses of many neurons in primary visual cortex (V1) are suppressed by stimuli exceeding the classical receptive field (RF), an important property that might underlie the computation of visual saliency. Traditionally, it has proven difficult to disentangle the underlying neural circuits, including feedforward, horizontal intracortical, and feedback connectivity. Since circuit-level analysis is particularly feasible in the mouse, we asked whether neural signatures of spatial integration in ...

  17. Integrating Quaternary science research in land management, restoration, and conservation

    Science.gov (United States)

    C.I. Millar; W.B. Woolfenden

    2001-01-01

    Most of us have come to expect that the general public will ignore the primary message of Quaternary science that change happens. A flurry, however, of recent media attention to 20th-century global warming and its anomalies from climates of the last millennium has brought climate science at least momentarily into popular focus. Similarly, public land-managing agencies...

  18. Spatial integration in mouse primary visual cortex.

    Science.gov (United States)

    Vaiceliunaite, Agne; Erisken, Sinem; Franzen, Florian; Katzner, Steffen; Busse, Laura

    2013-08-01

    Responses of many neurons in primary visual cortex (V1) are suppressed by stimuli exceeding the classical receptive field (RF), an important property that might underlie the computation of visual saliency. Traditionally, it has proven difficult to disentangle the underlying neural circuits, including feedforward, horizontal intracortical, and feedback connectivity. Since circuit-level analysis is particularly feasible in the mouse, we asked whether neural signatures of spatial integration in mouse V1 are similar to those of higher-order mammals and investigated the role of parvalbumin-expressing (PV+) inhibitory interneurons. Analogous to what is known from primates and carnivores, we demonstrate that, in awake mice, surround suppression is present in the majority of V1 neurons and is strongest in superficial cortical layers. Anesthesia with isoflurane-urethane, however, profoundly affects spatial integration: it reduces the laminar dependency, decreases overall suppression strength, and alters the temporal dynamics of responses. We show that these effects of brain state can be parsimoniously explained by assuming that anesthesia affects contrast normalization. Hence, the full impact of suppressive influences in mouse V1 cannot be studied under anesthesia with isoflurane-urethane. To assess the neural circuits of spatial integration, we targeted PV+ interneurons using optogenetics. Optogenetic depolarization of PV+ interneurons was associated with increased RF size and decreased suppression in the recorded population, similar to effects of lowering stimulus contrast, suggesting that PV+ interneurons contribute to spatial integration by affecting overall stimulus drive. We conclude that the mouse is a promising model for circuit-level mechanisms of spatial integration, which relies on the combined activity of different types of inhibitory interneurons.

  19. Integrating land cover and terrain characteristics to explain plague ...

    African Journals Online (AJOL)

    Literature suggests that higher resolution remote sensing data integrated in Geographic Information System (GIS) can provide greater possibility to refine the analysis of land cover and terrain characteristics for explanation of abundance and distribution of plague hosts and vectors and hence of health risk hazards to ...

  20. Aligning Land Use with Land Potential: The Role of Integrated Agriculture

    Directory of Open Access Journals (Sweden)

    M. A. Liebig

    2017-04-01

    Full Text Available Contemporary agricultural land use is dominated by an emphasis on provisioning services by applying energy-intensive inputs through relatively uniform production systems across variable landscapes. This approach to agricultural land use is not sustainable. Achieving sustainable use of agricultural land should instead focus on the application of innovative management systems that provide multiple ecosystem services on lands with varying inherent qualities. Integrated agricultural systems (IAS represent an alternative approach to prevailing land use, whereby site-adapted enterprises are implemented to enhance synergistic resource transfer among enterprises and sustainable delivery of ecosystem services. Sustainable deployment of IAS on agricultural land involves placing the “right enterprise” at the “right intensity” at the “right time” on the “right location,” with the inherent attributes of location providing guidance for management decisions. There is an urgent need to design IAS that enhance delivery of ecosystem services while ensuring land potential thresholds are not exceeded.

  1. Integrating ecosystem-service tradeoffs into land-use decisions

    OpenAIRE

    Goldstein, Joshua H.; Caldarone, Giorgio; Duarte, Thomas Kaeo; Ennaanay, Driss; Hannahs, Neil; Mendoza, Guillermo; Polasky, Stephen; Wolny, Stacie; Daily, Gretchen C.

    2012-01-01

    Recent high-profile efforts have called for integrating ecosystem-service values into important societal decisions, but there are few demonstrations of this approach in practice. We quantified ecosystem-service values to help the largest private landowner in Hawaii, Kamehameha Schools, design a land-use development plan that balances multiple private and public values on its North Shore land holdings (Island of O’ahu) of ∼10,600 ha. We used the InVEST software tool to evaluate the environment...

  2. Eutrophication potential of lakes: an integrated analysis of trophic state, morphometry, land occupation, and land use

    Directory of Open Access Journals (Sweden)

    RF Silvino

    Full Text Available AbstractDespite being inside a protected area, Lake Sumidouro has been impacted by the anthropogenic occupation of the surrounding area since the 1970’s, compromising the ecological integrity of the lake and the sustainable use of natural resources. This study examined the current trophic classification of the lake and developed methods for improving it through an integrated analysis of morphometric and limnological parameters, land use and land occupation in the watershed, and eutrophication potential. Data for the limnological parameters, land use and land occupation, and morphometric characteristics of Lake Sumidouro were collected in the rainy and dry seasons of 2009 and 2010. Depending on the trophic classification system used, Lake Sumidouro is classified as oligotrophic to hypereutrophic. In our study, the highest concentration of nutrients occurred in the rainy season, indicating that high nutrient inputs played an important role during this period. Areas of anthropogenic occupation comprised approximately 62.9% of the total area of the watershed, with pasture and urban settlement as the main types of land use. The influent total phosphorus load was estimated to be 15,824.3 kg/year. To maintain mesotrophic conditions, this load must be reduced by 29.4%. By comparing the isolated use of trophic state indices, this study demonstrated that comparing the trophic state classification with morphometric analyses, land use and land occupation types in the watershed, and potential phosphorus load provided better information to guide management actions for restoration and conservation. Furthermore, this approach also allowed for evaluating the vulnerability of the environment to the eutrophication process.

  3. Integrated Land-Water-Energy assessment using the Foreseer Tool

    Science.gov (United States)

    Allwood, Julian; Konadu, Dennis; Mourao, Zenaida; Lupton, Rick; Richards, Keith; Fenner, Richard; Skelton, Sandy; McMahon, Richard

    2016-04-01

    This study presents an integrated energy and resource modelling and visualisation approach, ForeseerTM, which characterises the interdependencies and evaluates the land and water requirement for energy system pathways. The Foreseer Tool maps linked energy, water and land resource futures by outputting a set of Sankey diagrams for energy, water and land, showing the flow from basic resource (e.g. coal, surface water, and forested land) through transformations (e.g. fuel refining and desalination) to final services (e.g. sustenance, hygiene and transportation). By 'mapping' resources in this way, policy-makers can more easily understand the competing uses through the identification of the services it delivers (e.g. food production, landscaping, energy), the potential opportunities for improving the management of the resource and the connections with other resources which are often overlooked in a traditional sector-based management strategy. This paper will present a case study of the UK Carbon Plan, and highlights the need for integrated resource planning and policy development.

  4. Countermeasures for Intensive Use of Land from the Perspective of Urban-Rural Integration

    OpenAIRE

    Jia, Li-bin

    2012-01-01

    This paper analyzes problems of excessive emphasis on expansion of urban land, improper village and town construction, and low land utilization efficiency in urban-rural integration construction. In line with characteristics and principle of intensive land use of urban-rural integration, it puts forward integration of urban-rural land layout, practically exploring connotation, and improving land intensification in many ways. Based on these, it presents countermeasures for intensive use of lan...

  5. Coupled C, N and P controls on photosynthesis, primary production and decomposition across a land use intensification gradient and implications for land atmosphere C exchange

    Science.gov (United States)

    Reinsch, Sabine; Glanville, Helen; Smart, Simon; Jones, Davey; Mercado, Lina; Blanes-Alberola, Mamen; Cosby, Jack; Emmett, Bridget

    2016-04-01

    The coupling of C, N and P cycles has rarely been studied through the air- land-water continuum. This is essential if we are to enhance land-atmosphere models to account for N and P limitations. It is also important for developing integrated catchment management solutions to deliver improved water quality combined with a wide range of other ecosystem functions and services. We present results from a project which is part of the interdisciplinary pan-UK NERC Macronutrient Cycles Programme (macronutrient-cycles.ouce.ox.ac.uk/). Our aim is to quantify how coupled C, N & P cycles change across a land use intensification gradient from arable to grass, woodland and bog ecosystems and identify the implications for land-atmosphere C exchange. We focus on three key processes; photosynthesis, annual net primary productivity and decomposition and explore their consequences for biodiversity. Other aspects of the project track delivery to, and transformations within, the freshwater and coastal systems. When we explore relationships between C, N and P, results indicate all habitat types fall on a single land use intensification gradient. Stoichiometry suggests plant productivity is primarily N limited. P limitation occurs rarely but at all levels of intensification. Soil priming shows our soils are primarily C limited and, surprisingly, soil acidity provides one of the most powerful single predictors of processes and ecosystem services perhaps as it is a good integrator of many soil properties. Incorporating this knowledge into the UK land-atmosphere model JULES will improve aNPP projections. These are then being used as inputs into a plant species model called MULTIMOVE to enable future scenarios of climate change, land use and air pollution on habitat suitability for > 1400 plant species to be explored. The enhanced Jules model will ensure both N and P limitations on C fluxes from above and below-ground are incorporated into future UK scenario applications.

  6. Integration of risk analysis, land use planning, and cost analysis

    International Nuclear Information System (INIS)

    Rajen, G.; Sanchez, G.

    1994-01-01

    The Department of Energy (DOE) and the Pueblo of San Ildefonso (Pueblo), which is a sovereign Indian tribe, have often been involved in adversarial situations regarding the Los Alamos National Laboratory (LANL). The Pueblo shares a common boundary with the LANL. This paper describes an on-going project that could alter the DOE and the Pueblo's relationship to one of cooperation; and unite the DOE and the Pueblo in a Pollution Prevention/Waste Minimization, and Integrated Risk Analysis and Land Use Planning effort

  7. Integrating ecosystem-service tradeoffs into land-use decisions.

    Science.gov (United States)

    Goldstein, Joshua H; Caldarone, Giorgio; Duarte, Thomas Kaeo; Ennaanay, Driss; Hannahs, Neil; Mendoza, Guillermo; Polasky, Stephen; Wolny, Stacie; Daily, Gretchen C

    2012-05-08

    Recent high-profile efforts have called for integrating ecosystem-service values into important societal decisions, but there are few demonstrations of this approach in practice. We quantified ecosystem-service values to help the largest private landowner in Hawaii, Kamehameha Schools, design a land-use development plan that balances multiple private and public values on its North Shore land holdings (Island of O'ahu) of ∼10,600 ha. We used the InVEST software tool to evaluate the environmental and financial implications of seven planning scenarios encompassing contrasting land-use combinations including biofuel feedstocks, food crops, forestry, livestock, and residential development. All scenarios had positive financial return relative to the status quo of negative return. However, tradeoffs existed between carbon storage and water quality as well as between environmental improvement and financial return. Based on this analysis and community input, Kamehameha Schools is implementing a plan to support diversified agriculture and forestry. This plan generates a positive financial return ($10.9 million) and improved carbon storage (0.5% increase relative to status quo) with negative relative effects on water quality (15.4% increase in potential nitrogen export relative to status quo). The effects on water quality could be mitigated partially (reduced to a 4.9% increase in potential nitrogen export) by establishing vegetation buffers on agricultural fields. This plan contributes to policy goals for climate change mitigation, food security, and diversifying rural economic opportunities. More broadly, our approach illustrates how information can help guide local land-use decisions that involve tradeoffs between private and public interests.

  8. Understanding integrated care: a comprehensive conceptual framework based on the integrative functions of primary care.

    Science.gov (United States)

    Valentijn, Pim P; Schepman, Sanneke M; Opheij, Wilfrid; Bruijnzeels, Marc A

    2013-01-01

    Primary care has a central role in integrating care within a health system. However, conceptual ambiguity regarding integrated care hampers a systematic understanding. This paper proposes a conceptual framework that combines the concepts of primary care and integrated care, in order to understand the complexity of integrated care. The search method involved a combination of electronic database searches, hand searches of reference lists (snowball method) and contacting researchers in the field. The process of synthesizing the literature was iterative, to relate the concepts of primary care and integrated care. First, we identified the general principles of primary care and integrated care. Second, we connected the dimensions of integrated care and the principles of primary care. Finally, to improve content validity we held several meetings with researchers in the field to develop and refine our conceptual framework. The conceptual framework combines the functions of primary care with the dimensions of integrated care. Person-focused and population-based care serve as guiding principles for achieving integration across the care continuum. Integration plays complementary roles on the micro (clinical integration), meso (professional and organisational integration) and macro (system integration) level. Functional and normative integration ensure connectivity between the levels. The presented conceptual framework is a first step to achieve a better understanding of the inter-relationships among the dimensions of integrated care from a primary care perspective.

  9. Remote sensing and GIS for land use/cover mapping and integrated land management: case from the middle Ganga plain

    Science.gov (United States)

    Singh, R. B.; Kumar, Dilip

    2012-06-01

    In India, land resources have reached a critical stage due to the rapidly growing population. This challenge requires an integrated approach toward harnessing land resources, while taking into account the vulnerable environmental conditions. Remote sensing and Geographical Information System (GIS) based technologies may be applied to an area in order to generate a sustainable development plan that is optimally suited to the terrain and to the productive potential of the local resources. The present study area is a part of the middle Ganga plain, known as Son-Karamnasa interfluve, in India. Alternative land use systems and the integration of livestock enterprises with the agricultural system have been suggested for land resources management. The objective of this paper is to prepare a land resource development plan in order to increase the productivity of land for sustainable development. The present study will contribute necessary input for policy makers to improve the socio-economic and environmental conditions of the region.

  10. Improving Land Use/Land Cover Classification by Integrating Pixel Unmixing and Decision Tree Methods

    Directory of Open Access Journals (Sweden)

    Chao Yang

    2017-11-01

    Full Text Available Decision tree classification is one of the most efficient methods for obtaining land use/land cover (LULC information from remotely sensed imageries. However, traditional decision tree classification methods cannot effectively eliminate the influence of mixed pixels. This study aimed to integrate pixel unmixing and decision tree to improve LULC classification by removing mixed pixel influence. The abundance and minimum noise fraction (MNF results that were obtained from mixed pixel decomposition were added to decision tree multi-features using a three-dimensional (3D Terrain model, which was created using an image fusion digital elevation model (DEM, to select training samples (ROIs, and improve ROI separability. A Landsat-8 OLI image of the Yunlong Reservoir Basin in Kunming was used to test this proposed method. Study results showed that the Kappa coefficient and the overall accuracy of integrated pixel unmixing and decision tree method increased by 0.093% and 10%, respectively, as compared with the original decision tree method. This proposed method could effectively eliminate the influence of mixed pixels and improve the accuracy in complex LULC classifications.

  11. Understanding integrated care: a comprehensive conceptual framework based on the integrative functions of primary care.

    NARCIS (Netherlands)

    Valentijn, P.P.; Schepman, S.M.; Opheij, W.; Bruijnzeels, M.A.

    2013-01-01

    Introduction: Primary care has a central role in integrating care within a health system. However, conceptual ambiguity regarding integrated care hampers a systematic understanding. This paper proposes a conceptual framework that combines the concepts of primary care and integrated care, in order to

  12. Land development, land use, and urban sprawl in Puerto Rico integrating remote sensing and population census data.

    Science.gov (United States)

    Sebastian Martinuzzi; William A. Gould; Olga M. Ramos Gonzalez

    2007-01-01

    The island of Puerto Rico has both a high population density and a long history of ineffective land use planning. This study integrates geospatial technology and population census data to understand how people use and develop the lands. We define three new regions for Puerto Rico: Urban (16%), Densely Populated Rural (36%), and Sparsely Populated Rural (48%). Eleven...

  13. Land administration for housing production : analysis of need for interagency integration

    NARCIS (Netherlands)

    Agunbiade, M.E.; Rajabifard, A.; Bennett, R.M.

    2014-01-01

    In most country contexts the activities of government land administration agencies, those dealing with the functions of land tenure, valuation, planning, and development, are disparate and lack harmonisation. This paper analyses the imperative for integrating these functions across and between

  14. Integrated diagnostic imaging of primary thoracic rhabdomyosarcoma

    International Nuclear Information System (INIS)

    Almberger, M.; Iannicelli, E.; Matrunola, M.; Schiavetti, A.; Capocaccia, P.

    2001-01-01

    We report a rare case of primary thoracic rhabdomyosarcoma in a girl who was referred with acute chest pain, hacking cough, and wheezing. A chest X-ray revealed a complete opacity of the right hemithorax. Ultrasound revealed a right-sided pleural effusion and a solid mass above the liver dome, suggesting a neoplastic disease, which quickly led to further specific examination. Use of CT and MRI together with bone scintigraphy completed the investigation. The biopsy specimen showed a pattern of alveolar rhabdomyosarcoma. This case was reported to emphasize the role of US in the evaluation of a child with hemithorax opacity. (orig.)

  15. Integrated diagnostic imaging of primary thoracic rhabdomyosarcoma

    Energy Technology Data Exchange (ETDEWEB)

    Almberger, M.; Iannicelli, E. [Dept. of Radiology, University ' ' La Sapienza' ' , Rome (Italy); Matrunola, M.; Schiavetti, A.; Capocaccia, P. [Dept. of Pediatric Radiology, University ' ' La Sapienza' ' , Rome (Italy)

    2001-03-01

    We report a rare case of primary thoracic rhabdomyosarcoma in a girl who was referred with acute chest pain, hacking cough, and wheezing. A chest X-ray revealed a complete opacity of the right hemithorax. Ultrasound revealed a right-sided pleural effusion and a solid mass above the liver dome, suggesting a neoplastic disease, which quickly led to further specific examination. Use of CT and MRI together with bone scintigraphy completed the investigation. The biopsy specimen showed a pattern of alveolar rhabdomyosarcoma. This case was reported to emphasize the role of US in the evaluation of a child with hemithorax opacity. (orig.)

  16. An integrated assessment framework for land subsidence in delta cities

    Directory of Open Access Journals (Sweden)

    T. H. M. Bucx

    2015-11-01

    Full Text Available In many delta cities land subsidence exceeds absolute sea level rise up to a factor of ten by excessive groundwater extraction related to rapid urbanization and population growth. Without change, parts of Jakarta, Ho Chi Minh City, Bangkok and numerous other delta (and coastal cities will sink below sea level. Increased flooding and also other widespread impacts of land subsidence result already in damage of billions of dollars per year. In order to gain insight in the complex, multi-sectoral aspects of subsidence, to raise awareness and to support decision making on appropriate adaptation strategies and measures, an Integrated Assessment Framework (IAF for subsidence is introduced, illustrated by several (delta case studies. Based on that a list of 10 generic key issues and possible solutions is presented in order to further develop and support a (generic approach how to deal with subsidence in current and future subsidence-prone areas. For exchange of experiences and knowledge development.on subsidence in deltas the Delta Alliance, a knowledge network of deltas worldwide, can be supportive.

  17. Consulting Psychiatry within an Integrated Primary Care Model

    Science.gov (United States)

    Schreiter, Elizabeth A. Zeidler; Pandhi, Nancy; Fondow, Meghan D. M.; Thomas, Chantelle; Vonk, Jantina; Reardon, Claudia L.; Serrano, Neftali

    2014-01-01

    Summary After implementation of an integrated consulting psychiatry model and psychology services within primary care at a federally qualified health center, patients have increased access to needed mental health services, and primary care clinicians receive the support and collaboration needed to meet the psychiatric needs of the population. PMID:24185149

  18. Towards integrated solutions for water, energy, and land using an integrated nexus modeling framework

    Science.gov (United States)

    Wada, Y.

    2017-12-01

    Humanity has already reached or even exceeded the Earth's carrying capacity. Growing needs for food, energy and water will only exacerbate existing challenges over the next decades. Consequently, the acceptance of "business as usual" is eroding and we are being challenged to adopt new, more integrated, and more inclusive development pathways that avoid dangerous interference with the local environment and global planetary boundaries. This challenge is embodied in the United Nation's Sustainable Development Goals (SDGs), which endeavor to set a global agenda for moving towards more sustainable development strategies. To improve and sustain human welfare, it is critical that access to modern, reliable, and affordable water, energy, and food is expanded and maintained. The Integrated Solutions for Water, Energy, and Land (IS-WEL) project has been launched by IIASA, together with the Global Environment Facility (GEF) and the United Nations Industrial Development Organization (UNIDO). This project focuses on the water-energy-land nexus in the context of other major global challenges such as urbanization, environmental degradation, and equitable and sustainable futures. It develops a consistent framework for looking at the water-energy-land nexus and identify strategies for achieving the needed transformational outcomes through an advanced assessment framework. A multi-scalar approach are being developed that aims to combine global and regional integrated assessment tools with local stakeholder knowledge in order to identify robust solutions to energy, water, food, and ecosystem security in selected regions of the world. These are regions facing multiple energy, water and land use challenges and rapid demographic and economic changes, and are hardest hit by increasing climate variability and change. This project combines the global integrated assessment model (MESSAGE) with the global land (GLOBIOM) and water (Community Water Model) model respectively, and the integrated

  19. Integrating global socio-economic influences into a regional land use change model for China

    Science.gov (United States)

    Xu, Xia; Gao, Qiong; Peng, Changhui; Cui, Xuefeng; Liu, Yinghui; Jiang, Li

    2014-03-01

    With rapid economic development and urbanization, land use in China has experienced huge changes in recent years; and this will probably continue in the future. Land use problems in China are urgent and need further study. Rapid land-use change and economic development make China an ideal region for integrated land use change studies, particularly the examination of multiple factors and global-regional interactions in the context of global economic integration. This paper presents an integrated modeling approach to examine the impact of global socio-economic processes on land use changes at a regional scale. We develop an integrated model system by coupling a simple global socio-economic model (GLOBFOOD) and regional spatial allocation model (CLUE). The model system is illustrated with an application to land use in China. For a given climate change, population growth, and various socio-economic situations, a global socio-economic model simulates the impact of global market and economy on land use, and quantifies changes of different land use types. The land use spatial distribution model decides the type of land use most appropriate in each spatial grid by employing a weighted suitability index, derived from expert knowledge about the ecosystem state and site conditions. A series of model simulations will be conducted and analyzed to demonstrate the ability of the integrated model to link global socioeconomic factors with regional land use changes in China. The results allow an exploration of the future dynamics of land use and landscapes in China.

  20. Research priorities in land use and land-cover change for the Earth System and Integrated Assessment Modelling

    NARCIS (Netherlands)

    Hibbard, K.; Janetos, A.; Vuuren, van D.; Pongratz, J.; Rose, S.; Betts, R.; Herold, M.; Feddema, J.

    2010-01-01

    This special issue has highlighted recent and innovative methods and results that integrate observations and modelling analyses of regional to global aspect of biophysical and biogeochemical interactions of land-cover change with the climate system. Both the Earth System and the Integrated

  1. Landing Gear Integration in Aircraft Conceptual Design. Revision

    Science.gov (United States)

    Chai, Sonny T.; Mason, William H.

    1997-01-01

    The design of the landing gear is one of the more fundamental aspects of aircraft design. The design and integration process encompasses numerous engineering disciplines, e.g., structure, weights, runway design, and economics, and has become extremely sophisticated in the last few decades. Although the design process is well-documented, no attempt has been made until now in the development of a design methodology that can be used within an automated environment. As a result, the process remains to be a key responsibility for the configuration designer and is largely experience-based and graphically-oriented. However, as industry and government try to incorporate multidisciplinary design optimization (MDO) methods in the conceptual design phase, the need for a more systematic procedure has become apparent. The development of an MDO-capable design methodology as described in this work is focused on providing the conceptual designer with tools to help automate the disciplinary analyses, i.e., geometry, kinematics, flotation, and weight. Documented design procedures and analyses were examined to determine their applicability, and to ensure compliance with current practices and regulations. Using the latest information as obtained from industry during initial industry survey, the analyses were in terms modified and expanded to accommodate the design criteria associated with the advanced large subsonic transports. Algorithms were then developed based on the updated analysis procedures to be incorporated into existing MDO codes.

  2. Reconciling farming and wild nature: Integrating human-wildlife coexistence into the land-sharing and land-sparing framework.

    Science.gov (United States)

    Crespin, Silvio J; Simonetti, Javier A

    2018-05-11

    Land has traditionally been spared to protect biodiversity; however, this approach has not succeeded by itself and requires a complementary strategy in human-dominated landscapes: land-sharing. Human-wildlife conflicts are rampant in a land-sharing context where wildlife co-occur with crops or livestock, but whose resulting interactions adversely affect the wellbeing of land owners, ultimately impeding coexistence. Therefore, true land-sharing only works if coexistence is also considered an end goal. We reviewed the literature on land-sharing and found that conflicts have not yet found their way into the land-sharing/sparing framework, with wildlife and humans co-occurring without coexisting in a dynamic process. To successfully implement a land-sharing approach, we must first acknowledge our failure to integrate the body of work on human-wildlife conflicts into the framework and work to implement multidisciplinary approaches from the ecological, economic, and sociological sciences to overcome and prevent conflicts. We suggest the use of Conflict Transformation by means of the Levels of Conflict Model to perceive both visible and deep-rooted causes of conflicts as opportunities to create problem-solving dynamics in affected socio-ecological landscapes. Reconciling farming and nature is possible by aiming for a transition to landscapes that truly share space by virtue of coexistence.

  3. Corroborating the Land Use Change as Primary Determinant of Air Quality Degradation in a Concentric City

    Directory of Open Access Journals (Sweden)

    Ariva Sugandi Permana

    2015-05-01

    Full Text Available Bandung City is characterized by concentric land use pattern as found in many naturally grown cities. It radiates from mixed commercial areas in the center to low density residential areas in the periphery. This pattern generates significant traffic volume towards city center. The gener-ated traffic releases emissions and degrades urban air quality since fossil fuel is predominantly used by vehicles in Bandung. In the absence of air polluting industries as well as construction and demolition activities, traffic load generated by land use changes is the only major contribu-tor to air quality degradation in the city. The land use change can therefore be seen as primary determinant of air pollution in Bandung. This study analyses land use changes and its impacts on traffic pattern and air quality. Multivariate correlation between traffic load and land use changes is employed as tool to substantiate the proposition. Relationships between the degree of chang-es in land use, as reflected in traffic loads, and the quantity of two principal air pollutants, namely SO2 and HC are also established to validate the argument. The result of analysis sub-stantiates the correlation between land use changes and air quality degradation.

  4. Disaster Management: AN Integral Part of Science & Technology System and Land Administration-Management System

    Science.gov (United States)

    Ghawana, T.; Zlatanova, S.

    2016-06-01

    Disaster management is a multidisciplinary field, which requires a general coordination approach as well as specialist approaches. Science and Technology system of a country allows to create policies and execution of technical inputs required which provide services for the specific types of disasters management. Land administration and management agencies, as the administrative and management bodies, focus more on the coordination of designated tasks to various agencies responsible for their dedicated roles. They get help from Scientific and technical inputs & policies which require to be implemented in a professional manner. The paper provides an example of such integration from India where these two systems complement each other with their dedicated services. Delhi, the Capital of India, has such a disaster management system which has lot of technical departments of government which are mandated to provide their services as Emergency Service Functionaries. Thus, it is shown that disaster management is a job which is an integral part of Science & Technology system of a country while being implemented primarily with the help of land administration and management agencies. It is required that new policies or mandates for the Science and technology organizations of government should give a primary space to disaster management

  5. Introduction to Integrative Medicine in the Primary Care Setting.

    Science.gov (United States)

    Ring, Melinda; Mahadevan, Rupa

    2017-06-01

    Integrative Medicine has been described as "healing oriented medicine that takes account of the whole person (body, mind, and spirit) including all aspects of lifestyle. It emphasizes therapeutic relationships and makes use of all appropriate therapies, both conventional and alternative." National surveys consistently report that approximately one-third of adults and 12% of children use complementary and integrative medicine approaches. Although there are barriers to primary care professionals engaging in discussions about lifestyle change and complementary and integrative medicine options, there is also great potential to impact patient well-being. Copyright © 2017 Elsevier Inc. All rights reserved.

  6. Integrated Current Balancing Transformer for Primary Parallel Isolated Boost Converter

    DEFF Research Database (Denmark)

    Sen, Gökhan; Ouyang, Ziwei; Thomsen, Ole Cornelius

    2011-01-01

    A simple, PCB compatible integrated solution is proposed for the current balancing requirement of the primary parallel isolated boost converter (PPIBC). Input inductor and the current balancing transformer are merged into the same core, which reduces the number of components allowing a cheaper...

  7. Integration of depression and primary care: barriers to adoption.

    Science.gov (United States)

    Grazier, Kyle L; Smith, Judith E; Song, Jean; Smiley, Mary L

    2014-01-01

    Despite the prevailing consensus as to its value, the adoption of integrated care models is not widespread. Thus, the objective of this article it to examine the barriers to the adoption of depression and primary care models in the United States. A literature search focused on peer-reviewed journal literature in Medline and PsycInfo. The search strategy focused on barriers to integrated mental health care services in primary care, and was based on previously existing searches. The search included: MeSH terms combined with targeted keywords; iterative citation searches in Scopus; searches for grey literature (literature not traditionally indexed by commercial publishers) in Google and organization websites, examination of reference lists, and discussions with researchers. Integration of depression care and primary care faces multiple barriers. Patients and families face numerous barriers, linked inextricably to create challenges not easily remedied by any one party, including the following: vulnerable populations with special needs, patient and family factors, medical and mental health comorbidities, provider supply and culture, financing and costs, and organizational issues. An analysis of barriers impeding integration of depression and primary care presents information for future implementation of services.

  8. Preparing the Workforce for Behavioral Health and Primary Care Integration.

    Science.gov (United States)

    Hall, Jennifer; Cohen, Deborah J; Davis, Melinda; Gunn, Rose; Blount, Alexander; Pollack, David A; Miller, William L; Smith, Corey; Valentine, Nancy; Miller, Benjamin F

    2015-01-01

    To identify how organizations prepare clinicians to work together to integrate behavioral health and primary care. Observational cross-case comparison study of 19 U.S. practices, 11 participating in Advancing Care Together, and 8 from the Integration Workforce Study. Practices varied in size, ownership, geographic location, and experience delivering integrated care. Multidisciplinary teams collected data (field notes from direct practice observations, semistructured interviews, and online diaries as reported by practice leaders) and then analyzed the data using a grounded theory approach. Organizations had difficulty finding clinicians possessing the skills and experience necessary for working in an integrated practice. Practices newer to integration underestimated the time and resources needed to train and organizationally socialize (onboard) new clinicians. Through trial and error, practices learned that clinicians needed relevant training to work effectively as integrated care teams. Training efforts exclusively targeting behavioral health clinicians (BHCs) and new employees were incomplete if primary care clinicians (PCCs) and others in the practice also lacked experience working with BHCs and delivering integrated care. Organizations' methods for addressing employees' need for additional preparation included hiring a consultant to provide training, sending employees to external training programs, hosting residency or practicum training programs, or creating their own internal training program. Onboarding new employees through the development of training manuals; extensive shadowing processes; and protecting time for ongoing education, mentoring, and support opportunities for new and established clinicians and staff were featured in these internal training programs. Insufficient training capacity and practical experience opportunities continue to be major barriers to supplying the workforce needed for effective behavioral health and primary care integration

  9. What scope for integrating land management policies, land administration processes and data infrastructures for housing production in Nigeria?

    NARCIS (Netherlands)

    Agunbiade, M.E.; Rajabifard, A.; Bennett, R.M.

    2016-01-01

    Existing knowledge reveals that land as a resource is not currently managed efficiently and effectively in most countries of the world. One of the factors considered important in understanding the inefficiencies and ineffectiveness is the level of integration between agencies. The objective of this

  10. Data on strategically located land and spatially integrated urban human settlements in South Africa.

    Science.gov (United States)

    Musakwa, Walter

    2017-12-01

    In developing countries like South Africa processed geographic information systems (GIS) data on land suitability, is often not available for land use management. Data in this article is based on a published article "The strategically located land index support system for humans settlements land reform in South Africa" (Musakwa et al., 2017) [1]. This article utilities data from Musakwa et al. (2017) [1] and it goes on a step further by presenting the top 25th percentile of areas in the country that are strategically located and suited to develop spatially integrated human settlements. Furthermore the least 25th percentile of the country that are not strategically located and spatially integrated to establish human settlements are also presented. The article also presents the processed spatial datasets that where used to develop the strategically located land index as supplementary material. The data presented is meant to stir debate on spatially integrated human settlements in South Africa.

  11. Linking the effects of land use change with water quality and discharge :an integrated approach

    OpenAIRE

    Fauss, Lynn Michael

    1992-01-01

    Hydrologic and water-quality equilibria are greatly affected by changing land use. This study presents a methodology that integrates the use of remote sensing, geographical information systems (GIS) and water-quality modeling. Archived aerial photography proved to be a valuable source of historical land use data. GIS technology was used to compile and analyze spatial data. A comprehensive watershed model was used to link the effects of land use change to water quali...

  12. Platform Innovations and System Integration for Unmanned Air, Land and Sea Vehicles Symposium. Technical Evaluation Report

    National Research Council Canada - National Science Library

    Decuypere, Roland; Selegan, David

    2007-01-01

    ...) of the Research and Technology Organization (RTO) of NATO organized a joint symposium on Platform Innovations and System Integration for Unmanned Air, Land and Sea Vehicles which met from 14-18 May 2007 in Florence Italy...

  13. Connectedness of land use, nutrients, primary production, and fish assemblages in oxbow lakes

    Science.gov (United States)

    Miranda, Leandro E.; Andrews, Caroline S.; Kroger, Robert

    2013-01-01

    We explored the strength of connectedness among hierarchical system components associated with oxbow lakes in the alluvial valley of the Lower Mississippi River. Specifically, we examined the degree of canonical correlation between land use (agriculture and forests), lake morphometry (depth and size), nutrients (total nitrogen and total phosphorus), primary production (chlorophyll-a), and various fish assemblage descriptors. Watershed (p < 0.01) and riparian (p = 0.02) land use, and lake depth (p = 0.05) but not size (p = 0.28), were associated with nutrient concentrations. In turn, nutrients were associated with primary production (p < 0.01), and primary production was associated with sunfish (Centrarchidae) assemblages (p < 0.01) and fish biodiversity (p = 0.08), but not with those of other taxa and functional guilds. Multiple chemical and biological components of oxbow lake ecosystems are connected to landscape characteristics such as land use and lake depth. Therefore, a top-down hierarchical approach can be useful in developing management and conservation plans for oxbow lakes in a region impacted by widespread landscape changes due to agriculture.

  14. Integration of land use and land cover inventories for landscape management and planning in Italy.

    Science.gov (United States)

    Sallustio, Lorenzo; Munafò, Michele; Riitano, Nicola; Lasserre, Bruno; Fattorini, Lorenzo; Marchetti, Marco

    2016-01-01

    There are both semantic and technical differences between land use (LU) and land cover (LC) measurements. In cartographic approaches, these differences are often neglected, giving rise to a hybrid classification. The aim of this paper is to provide a better understanding and characterization of the two classification schemes using a comparison that allows maximization of the informative power of both. The analysis was carried out in the Molise region (Central Italy) using sample information from the Italian Land Use Inventory (IUTI). The sampling points were classified with a visual interpretation of aerial photographs for both LU and LC in order to estimate surfaces and assess the changes that occurred between 2000 and 2012. The results underscore the polarization of land use and land cover changes resulting from the following: (a) recolonization of natural surfaces, (b) strong dynamisms between the LC classes in the natural and semi-natural domain and (c) urban sprawl on the lower hills and plains. Most of the observed transitions are attributable to decreases in croplands, natural grasslands and pastures, owing to agricultural abandonment. The results demonstrate that a comparison between LU and LC estimates and their changes provides an understanding of the causes of misalignment between the two criteria. Such information may be useful for planning policies in both natural and semi-natural contexts as well as in urban areas.

  15. Integrated primary care in Germany: the road ahead

    Directory of Open Access Journals (Sweden)

    Sophia Schlette

    2009-04-01

    Full Text Available Problem statement: Health care delivery in Germany is highly fragmented, resulting in poor vertical and horizontal integration and a system that is focused on curing acute illness or single diseases instead of managing patients with more complex or chronic conditions, or managing the health of determined populations. While it is now widely accepted that a strong primary care system can help improve coordination and responsiveness in health care, primary care has so far not played this role in the German system. Primary care physicians traditionally do not have a gatekeeper function; patients can freely choose and directly access both primary and secondary care providers, making coordination and cooperation within and across sectors difficult. Description of policy development: Since 2000, driven by the political leadership and initiative of the Federal Ministry of Health, the German Bundestag has passed several laws enabling new forms of care aimed to improve care coordination and to strengthen primary care as a key function in the German health care system. These include on the contractual side integrated care contracts, and on the delivery side disease management programmes, medical care centres, gatekeeping and ‘community medicine nurses’. Conclusion and discussion: Recent policy reforms improved framework conditions for new forms of care. There is a clear commitment by the government and the introduction of selective contracting and financial incentives for stronger cooperation constitute major drivers for change. First evaluations, especially of disease management programmes, indicate that the new forms of care improve coordination and outcomes. Yet the process of strengthening primary care as a lever for better care coordination has only just begun. Future reforms need to address other structural barriers for change such as fragmented funding streams, inadequate payment systems, the lack of standardized IT systems and trans

  16. Integrated primary care in Germany: the road ahead.

    Science.gov (United States)

    Schlette, Sophia; Lisac, Melanie; Blum, Kerstin

    2009-04-20

    Health care delivery in Germany is highly fragmented, resulting in poor vertical and horizontal integration and a system that is focused on curing acute illness or single diseases instead of managing patients with more complex or chronic conditions, or managing the health of determined populations. While it is now widely accepted that a strong primary care system can help improve coordination and responsiveness in health care, primary care has so far not played this role in the German system. Primary care physicians traditionally do not have a gatekeeper function; patients can freely choose and directly access both primary and secondary care providers, making coordination and cooperation within and across sectors difficult. Since 2000, driven by the political leadership and initiative of the Federal Ministry of Health, the German Bundestag has passed several laws enabling new forms of care aimed to improve care coordination and to strengthen primary care as a key function in the German health care system. These include on the contractual side integrated care contracts, and on the delivery side disease management programmes, medical care centres, gatekeeping and 'community medicine nurses'. Recent policy reforms improved framework conditions for new forms of care. There is a clear commitment by the government and the introduction of selective contracting and financial incentives for stronger cooperation constitute major drivers for change. First evaluations, especially of disease management programmes, indicate that the new forms of care improve coordination and outcomes. Yet the process of strengthening primary care as a lever for better care coordination has only just begun. Future reforms need to address other structural barriers for change such as fragmented funding streams, inadequate payment systems, the lack of standardized IT systems and trans-sectoral education and training of providers.

  17. Nursing competency standards in primary health care: an integrative review.

    Science.gov (United States)

    Halcomb, Elizabeth; Stephens, Moira; Bryce, Julianne; Foley, Elizabeth; Ashley, Christine

    2016-05-01

    This paper reports an integrative review of the literature on nursing competency standards for nurses working in primary health care and, in particular, general practice. Internationally, there is growing emphasis on building a strong primary health care nursing workforce to meet the challenges of rising chronic and complex disease. However, there has been limited emphasis on examining the nursing workforce in this setting. Integrative review. A comprehensive search of relevant electronic databases using keywords (e.g. 'competencies', 'competen*' and 'primary health care', 'general practice' and 'nurs*') was combined with searching of the Internet using the Google scholar search engine. Experts were approached to identify relevant grey literature. Key websites were also searched and the reference lists of retrieved sources were followed up. The search focussed on English language literature published since 2000. Limited published literature reports on competency standards for nurses working in general practice and primary health care. Of the literature that is available, there are differences in the reporting of how the competency standards were developed. A number of common themes were identified across the included competency standards, including clinical practice, communication, professionalism and health promotion. Many competency standards also included teamwork, education, research/evaluation, information technology and the primary health care environment. Given the potential value of competency standards, further work is required to develop and test robust standards that can communicate the skills and knowledge required of nurses working in primary health care settings to policy makers, employers, other health professionals and consumers. Competency standards are important tools for communicating the role of nurses to consumers and other health professionals, as well as defining this role for employers, policy makers and educators. Understanding the content

  18. 1 Integrating land cover and terrain characteristics to explain plague ...

    African Journals Online (AJOL)

    influence of land cover and terrain factors on the abundance and spatial distribution ... factors operating at diverse scales, including climate (Debien et al., 2009; Ben Ari .... A cloud free three-band SPOT 5 image captured on 27 February 2007, ...

  19. Atmospheric Boundary Layer, Integrating Air Chemistry and Land Interactions

    NARCIS (Netherlands)

    Vilà-Guerau De Arellano, J.; Heerwaarden, van C.C.; Stratum, van B.J.H.; Dries, van den C.L.A.M.

    2015-01-01

    This textbook provides an introduction to the interactions between the atmosphere and the land for advanced undergraduate and graduate students and a reference text for researchers in atmospheric physics and chemistry, hydrology, and plant physiology. The combination of the book, which provides the

  20. The Multi-Resolution Land Characteristics (MRLC) Consortium: 20 years of development and integration of USA national land cover data

    Science.gov (United States)

    Wickham, James D.; Homer, Collin G.; Vogelmann, James E.; McKerrow, Alexa; Mueller, Rick; Herold, Nate; Coluston, John

    2014-01-01

    The Multi-Resolution Land Characteristics (MRLC) Consortium demonstrates the national benefits of USA Federal collaboration. Starting in the mid-1990s as a small group with the straightforward goal of compiling a comprehensive national Landsat dataset that could be used to meet agencies’ needs, MRLC has grown into a group of 10 USA Federal Agencies that coordinate the production of five different products, including the National Land Cover Database (NLCD), the Coastal Change Analysis Program (C-CAP), the Cropland Data Layer (CDL), the Gap Analysis Program (GAP), and the Landscape Fire and Resource Management Planning Tools (LANDFIRE). As a set, the products include almost every aspect of land cover from impervious surface to detailed crop and vegetation types to fire fuel classes. Some products can be used for land cover change assessments because they cover multiple time periods. The MRLC Consortium has become a collaborative forum, where members share research, methodological approaches, and data to produce products using established protocols, and we believe it is a model for the production of integrated land cover products at national to continental scales. We provide a brief overview of each of the main products produced by MRLC and examples of how each product has been used. We follow that with a discussion of the impact of the MRLC program and a brief overview of future plans.

  1. Land

    NARCIS (Netherlands)

    C.A. Hunsberger (Carol); Tom P. Evans

    2012-01-01

    textabstractPressure on land resources has increased during recent years despite international goals to improve their management. The fourth Global Environment Outlook (UNEP 2007) highlighted the unprecedented land-use changes created by a burgeoning population, economic development and

  2. Land degradation and integrated watershed management in India

    OpenAIRE

    Suraj Bhan

    2013-01-01

    In view of the stagnating productivity levels of irrigated agriculture, the contribution from rainfed agriculture should be increased to meet the requirements from the ever growing human and animal population of India. Land degradation is a major threat to our food and environment security and the extent of degradation problems are more pronounced in rainfed regions. Large potential of rainfed agriculture is untapped largely due to lack of enabling policy support and investments. In drought-p...

  3. Integrative Genome Comparison of Primary and Metastatic Melanomas

    Science.gov (United States)

    Feng, Bin; Nazarian, Rosalynn M.; Bosenberg, Marcus; Wu, Min; Scott, Kenneth L.; Kwong, Lawrence N.; Xiao, Yonghong; Cordon-Cardo, Carlos; Granter, Scott R.; Ramaswamy, Sridhar; Golub, Todd; Duncan, Lyn M.; Wagner, Stephan N.; Brennan, Cameron; Chin, Lynda

    2010-01-01

    A cardinal feature of malignant melanoma is its metastatic propensity. An incomplete view of the genetic events driving metastatic progression has been a major barrier to rational development of effective therapeutics and prognostic diagnostics for melanoma patients. In this study, we conducted global genomic characterization of primary and metastatic melanomas to examine the genomic landscape associated with metastatic progression. In addition to uncovering three genomic subclasses of metastastic melanomas, we delineated 39 focal and recurrent regions of amplification and deletions, many of which encompassed resident genes that have not been implicated in cancer or metastasis. To identify progression-associated metastasis gene candidates, we applied a statistical approach, Integrative Genome Comparison (IGC), to define 32 genomic regions of interest that were significantly altered in metastatic relative to primary melanomas, encompassing 30 resident genes with statistically significant expression deregulation. Functional assays on a subset of these candidates, including MET, ASPM, AKAP9, IMP3, PRKCA, RPA3, and SCAP2, validated their pro-invasion activities in human melanoma cells. Validity of the IGC approach was further reinforced by tissue microarray analysis of Survivin showing significant increased protein expression in thick versus thin primary cutaneous melanomas, and a progression correlation with lymph node metastases. Together, these functional validation results and correlative analysis of human tissues support the thesis that integrated genomic and pathological analyses of staged melanomas provide a productive entry point for discovery of melanoma metastases genes. PMID:20520718

  4. Integrative Regional Studies in the Mississippi Basin: Investigating the Effects of Land Use / Land Cover Change on Land and Water Resources

    Science.gov (United States)

    Foley, J. A.

    2003-12-01

    Over the last two hundred years, much of the Mississippi basin has been converted from forest, savanna and grassland to mosaic of agricultural and urban areas. Furthermore, technological changes -- especially those dealing with agricultural practices like fertilizer use -- have also had a widespread affect on environmental systems in the basin. Taken together, the massive transformation of land cover and agricultural land use practices have had a tremendous effect on the hydrological, biogeochemical and ecological processes occurring within the region. This transformation of the basin has a significant impact on human welfare and that other of other species, primarily through changing the distribution of ecosystem "goods and services" produced there. Here we present results that examine how large-scale changes in land use and land cover of the basin may have affected: (i) large-scale water balance and hydrology; (ii) water quality, especially nitrate concentrations; (iii) ecosystem productivity and carbon storage; and (iv) agricultural yield. In this study, we use a combination of process-based ecosystem models (for both natural ecosystems and agricultural systems), large-scale hydrological routing models, and detailed historical land use and climatic datasets. By comparing the response of different environmental processes to combinations of land use and climatic drivers, we may examine the underlying "resilience" of these ecosystems -- and how they may respond to environmental changes. Furthermore, we examine the tradeoffs between ecosystem goods and services -- such as a potential balance between increasing crop yields and decreasing water quality -- on a regional scale. Such regional-scale integrative studies are only now in their infancy. But they represent a framework for exploring the complex interactions between human societies, local landscapes, and regional environmental processes. Such "place-based" integrative studies should be compared to other regions

  5. Operational integration in primary health care: patient encounters and workflows.

    Science.gov (United States)

    Sifaki-Pistolla, Dimitra; Chatzea, Vasiliki-Eirini; Markaki, Adelais; Kritikos, Kyriakos; Petelos, Elena; Lionis, Christos

    2017-11-29

    Despite several countrywide attempts to strengthen and standardise the primary healthcare (PHC) system, Greece is still lacking a sustainable, policy-based model of integrated services. The aim of our study was to identify operational integration levels through existing patient care pathways and to recommend an alternative PHC model for optimum integration. The study was part of a large state-funded project, which included 22 randomly selected PHC units located across two health regions of Greece. Dimensions of operational integration in PHC were selected based on the work of Kringos and colleagues. A five-point Likert-type scale, coupled with an algorithm, was used to capture and transform theoretical framework features into measurable attributes. PHC services were grouped under the main categories of chronic care, urgent/acute care, preventive care, and home care. A web-based platform was used to assess patient pathways, evaluate integration levels and propose improvement actions. Analysis relied on a comparison of actual pathways versus optimal, the latter ones having been identified through literature review. Overall integration varied among units. The majority (57%) of units corresponded to a basic level. Integration by type of PHC service ranged as follows: basic (86%) or poor (14%) for chronic care units, poor (78%) or basic (22%) for urgent/acute care units, basic (50%) for preventive care units, and partial or basic (50%) for home care units. The actual pathways across all four categories of PHC services differed from those captured in the optimum integration model. Certain similarities were observed in the operational flows between chronic care management and urgent/acute care management. Such similarities were present at the highest level of abstraction, but also in common steps along the operational flows. Existing patient care pathways were mapped and analysed, and recommendations for an optimum integration PHC model were made. The developed web

  6. Water hammer characteristics of integral pressurized water reactor primary loop

    International Nuclear Information System (INIS)

    Zuo, Qiaolin; Qiu, Suizheng; Lu, Wei; Tian, Wenxi; Su, Guanghui; Xiao, Zejun

    2013-01-01

    Highlights: • Water hammer models developed for IPWR primary loop using MOC. • Good agreement between the developed code and the experiment. • The good agreement between WAHAP and Flowmaster can validate the equations in WAHAP. • The primary loop of IPWR suffers from slight water hammer impact. -- Abstract: The present work discussed the single-phase water hammer phenomenon, which was caused by the four-pump-alternate startup in an integral pressurized water reactor (IPWR). A new code named water hammer program (WAHAP) was developed independently based on the method of characteristic to simulate hydraulic transients in the primary system of IPWR and its components such as reactor core, once-through steam generators (OTSG), the main coolant pumps and so on. Experimental validation for the correctness of the equations and models in WAHAP was carried out and the models fit the experimental data well. Some important variables were monitored including transient volume flow rates, opening angle of valve disc and pressure drop in valves. The water hammer commercial software Flowmaster V7 was also employed to compare with WAHAP and the good agreement can validate the equations in WAHAP. The transient results indicated that the primary loop of IPWR suffers from slight water hammer impact under pump switching conditions

  7. Water hammer characteristics of integral pressurized water reactor primary loop

    Energy Technology Data Exchange (ETDEWEB)

    Zuo, Qiaolin [School of Nuclear Science and Technology, Xi’an Jiaotong University, Xi’an, Shanxi 710049 (China); Qiu, Suizheng, E-mail: szqiu@mail.xjtu.edu.cn [School of Nuclear Science and Technology, Xi’an Jiaotong University, Xi’an, Shanxi 710049 (China); Lu, Wei; Tian, Wenxi; Su, Guanghui [School of Nuclear Science and Technology, Xi’an Jiaotong University, Xi’an, Shanxi 710049 (China); Xiao, Zejun [Nuclear Power Institute of China, Chengdu, Sichuan 610041 (China)

    2013-08-15

    Highlights: • Water hammer models developed for IPWR primary loop using MOC. • Good agreement between the developed code and the experiment. • The good agreement between WAHAP and Flowmaster can validate the equations in WAHAP. • The primary loop of IPWR suffers from slight water hammer impact. -- Abstract: The present work discussed the single-phase water hammer phenomenon, which was caused by the four-pump-alternate startup in an integral pressurized water reactor (IPWR). A new code named water hammer program (WAHAP) was developed independently based on the method of characteristic to simulate hydraulic transients in the primary system of IPWR and its components such as reactor core, once-through steam generators (OTSG), the main coolant pumps and so on. Experimental validation for the correctness of the equations and models in WAHAP was carried out and the models fit the experimental data well. Some important variables were monitored including transient volume flow rates, opening angle of valve disc and pressure drop in valves. The water hammer commercial software Flowmaster V7 was also employed to compare with WAHAP and the good agreement can validate the equations in WAHAP. The transient results indicated that the primary loop of IPWR suffers from slight water hammer impact under pump switching conditions.

  8. Predicting freshwater habitat integrity using land-use surrogates

    CSIR Research Space (South Africa)

    Amis, MA

    2007-04-01

    Full Text Available Freshwater biodiversity is globally threatened due to human disturbances, but freshwater ecosystems have been accorded less protection than their terrestrial and marine counterparts. Few criteria exist for assessing the habitat integrity of rivers...

  9. Integrated post mining landscape for sustainable land use: A case study in South Sumatera, Indonesia

    Directory of Open Access Journals (Sweden)

    Abdul Kodir

    2017-07-01

    Full Text Available Damages to coal mined land must be restored through reclamation efforts to provide optimum benefits. In addition to environmental improvements through conservation and protection, coal mined land also has the potential for economic development and the ability to provide social benefits to the community. This study aimed to (1 formulate a spatial plan for coal mined land in order for it to become an integrated and multifunctional landscape by integrating protected areas, conservation areas and cultivated areas that contains a variety of land uses to support sustainable development of the coal mine of PT Bukit Asam, Tanjung Enim, South Sumatera province; and (2 calculate the economic potential of the coal mined land. The methods used for data analysis were the Geographical Information System (GIS, a land suitability evaluation and a feasibility study (Net Present Value, Internal Rate Return and Benefit/Cost Ratio. The results found that the integrated spatial planning of land that had been used as a coal mine that considered sustainability could be implemented. In addition, a variety of businesses in the area of cultivation, including: plantation forests, cultivation of cajuput crops, aquaculture, and cattle farming should be developed. The potential profitable, pre-tax income until the closing of the mine in 2043 amounted to USD 91,295,530 (1 USD = Rp 13,329. If there is a source of a new economy after mining ends, the social conditions and environmental sustainability can be maintained.

  10. The Multifunctional Environmental Energy Tower: Carbon Footprint and Land Use Analysis of an Integrated Renewable Energy Plant

    Directory of Open Access Journals (Sweden)

    Emanuele Bonamente

    2015-10-01

    Full Text Available The Multifunctional Environmental Energy Tower (MEET is a single, vertical, stand-alone renewable energy plant designed to decrease the primary energy consumption from fossil fuels, to reduce greenhouse gas emissions, to maximize the energy production from renewable sources available in place and to minimize land use. A feasibility case study was performed for the city of Rome, Italy. Several technologies are exploited and integrated in a single system, including a photovoltaic plant, a geothermal plant and a biomass digester for urban organic waste and sewage sludge. In the proposed configuration, the MEET could cover more than 11% of the electric power demand and up to 3% of the space heating demand of the surrounding urban area. An LCA analysis evaluates the environmental impact in a cradle-to-grave approach for two impact categories: global warming (carbon footprint and land use (land occupation and land transformation. The functional unit is a mix of electric (49.1% and thermal (50.9% energy (kWhmix. The carbon footprint is 48.70 g CO2eq/kWhmix; the land transformation is 4.058 m2/GWhmix; and the land occupation is 969.3 m2y/GWhmix. With respect to other energy production technologies, the carbon footprint is lower and similar to the best-performing ones (e.g., co-generation from wood chips; both of the land use indicators are considerably smaller than the least-impacting technologies. A systematic study was finally performed, and possible optimizations of the original design are proposed. Thanks to the modular design, the conceptual idea can be easily applied to other urban and non-urban scenarios.

  11. An integrated system for land resources supervision based on the IoT and cloud computing

    Science.gov (United States)

    Fang, Shifeng; Zhu, Yunqiang; Xu, Lida; Zhang, Jinqu; Zhou, Peiji; Luo, Kan; Yang, Jie

    2017-01-01

    Integrated information systems are important safeguards for the utilisation and development of land resources. Information technologies, including the Internet of Things (IoT) and cloud computing, are inevitable requirements for the quality and efficiency of land resources supervision tasks. In this study, an economical and highly efficient supervision system for land resources has been established based on IoT and cloud computing technologies; a novel online and offline integrated system with synchronised internal and field data that includes the entire process of 'discovering breaches, analysing problems, verifying fieldwork and investigating cases' was constructed. The system integrates key technologies, such as the automatic extraction of high-precision information based on remote sensing, semantic ontology-based technology to excavate and discriminate public sentiment on the Internet that is related to illegal incidents, high-performance parallel computing based on MapReduce, uniform storing and compressing (bitwise) technology, global positioning system data communication and data synchronisation mode, intelligent recognition and four-level ('device, transfer, system and data') safety control technology. The integrated system based on a 'One Map' platform has been officially implemented by the Department of Land and Resources of Guizhou Province, China, and was found to significantly increase the efficiency and level of land resources supervision. The system promoted the overall development of informatisation in fields related to land resource management.

  12. Global land-surface primary productivity based upon Nimbus-7 37 GHz data

    Science.gov (United States)

    Choudhury, B. J.

    1988-01-01

    Accumulation and renewal of organic matter as quantified through net primary productivity (NPP) is considered a very major function of the biosphere, and its estimation is crucial in understanding the carbon cycle. A physically-based model relating NPP to the difference of vertically and horizontally polarized brightness temperatures (Delta T) observed at 37 GHz frequency of the scanning multichannel microwave radiometer on board the Nimbus-7 satellite is used for fitting areally averaged values of NPP and Delta T for five biomes. The land-surface NPP within 80 deg N to 55 deg S is then calculated using the Delta T data and compared with other estimates.

  13. Integrating geographically isolated wetlands into land management decisions

    Science.gov (United States)

    Golden, Heather E.; Creed, Irena F.; Ali, Genevieve; Basu, Nandita; Neff, Brian; Rains, Mark C.; McLaughlin, Daniel L.; Alexander, Laurie C.; Ameli, Ali A.; Christensen, Jay R.; Evenson, Grey R.; Jones, Charles N.; Lane, Charles R.; Lang, Megan

    2017-01-01

    Wetlands across the globe provide extensive ecosystem services. However, many wetlands – especially those surrounded by uplands, often referred to as geographically isolated wetlands (GIWs) – remain poorly protected. Protection and restoration of wetlands frequently requires information on their hydrologic connectivity to other surface waters, and their cumulative watershed‐scale effects. The integration of measurements and models can supply this information. However, the types of measurements and models that should be integrated are dependent on management questions and information compatibility. We summarize the importance of GIWs in watersheds and discuss what wetland connectivity means in both science and management contexts. We then describe the latest tools available to quantify GIW connectivity and explore crucial next steps to enhancing and integrating such tools. These advancements will ensure that appropriate tools are used in GIW decision making and maintaining the important ecosystem services that these wetlands support.

  14. The Real-Time Monitoring Service Platform for Land Supervision Based on Cloud Integration

    Science.gov (United States)

    Sun, J.; Mao, M.; Xiang, H.; Wang, G.; Liang, Y.

    2018-04-01

    Remote sensing monitoring has become the important means for land and resources departments to strengthen supervision. Aiming at the problems of low monitoring frequency and poor data currency in current remote sensing monitoring, this paper researched and developed the cloud-integrated real-time monitoring service platform for land supervision which enhanced the monitoring frequency by acquiring the domestic satellite image data overall and accelerated the remote sensing image data processing efficiency by exploiting the intelligent dynamic processing technology of multi-source images. Through the pilot application in Jinan Bureau of State Land Supervision, it has been proved that the real-time monitoring technical method for land supervision is feasible. In addition, the functions of real-time monitoring and early warning are carried out on illegal land use, permanent basic farmland protection and boundary breakthrough in urban development. The application has achieved remarkable results.

  15. Neural Network Control for the Probe Landing Based on Proportional Integral Observer

    Directory of Open Access Journals (Sweden)

    Yuanchun Li

    2015-01-01

    Full Text Available For the probe descending and landing safely, a neural network control method based on proportional integral observer (PIO is proposed. First, the dynamics equation of the probe under the landing site coordinate system is deduced and the nominal trajectory meeting the constraints in advance on three axes is preplanned. Then the PIO designed by using LMI technique is employed in the control law to compensate the effect of the disturbance. At last, the neural network control algorithm is used to guarantee the double zero control of the probe and ensure the probe can land safely. An illustrative design example is employed to demonstrate the effectiveness of the proposed control approach.

  16. Coupling integrated assessment and earth system models: concepts and an application to land use change

    Science.gov (United States)

    O'Neill, B. C.; Lawrence, P.; Ren, X.

    2016-12-01

    Collaboration between the integrated assessment modeling (IAM) and earth system modeling (ESM) communities is increasing, driven by a growing interest in research questions that require analysis integrating both social and natural science components. This collaboration often takes the form of integrating their respective models. There are a number of approaches available to implement this integration, ranging from one-way linkages to full two-way coupling, as well as approaches that retain a single modeling framework but improve the representation of processes from the other framework. We discuss the pros and cons of these different approaches and the conditions under which a two-way coupling of IAMs and ESMs would be favored over a one-way linkage. We propose a criterion that is necessary and sufficient to motivate two-way coupling: A human process must have an effect on an earth system process that is large enough to cause a change in the original human process that is substantial compared to other uncertainties in the problem being investigated. We then illustrate a test of this criterion for land use-climate interactions based on work using the Community Earth System Model (CESM) and land use scenarios from the Representative Concentration Pathways (RCPs), in which we find that the land use effect on regional climate is unlikely to meet the criterion. We then show an example of implementing a one-way linkage of land use and agriculture between an IAM, the integrated Population-Economy-Technology-Science (iPETS) model, and CESM that produces fully consistent outcomes between iPETS and the CESM land surface model. We use the linked system to model the influence of climate change on crop yields, agricultural land use, crop prices and food consumption under two alternative future climate scenarios. This application demonstrates the ability to link an IAM to a global land surface and climate model in a computationally efficient manner.

  17. Integrated Systems Mitigate Land Degradation and Improve Agricultural System Sustainability

    Science.gov (United States)

    Landblom, Douglas; Senturklu, Songul; Cihacek, Larry; Brevik, Eric

    2017-04-01

    Rain-fed agricultural production supported by exogenous inputs is not sustainable because a continuous influx of expensive inputs (fertilizer, chemicals, fossil fuel, labor, tillage, and other) is required. Alternatives to traditional management allow natural occurring dynamic soil processes to provide the necessary microbial activity that supports nutrient cycling in balance with nature. Research designed to investigate the potential for integrated systems to replace expensive inputs has shown that healthy soils rich in soil organic matter (SOM) are the foundation upon which microbial nutrient cycling can reduce and eventually replace expensive fertilizer. No-till seed placement technology effectively replaces multiple-pass cultivation conserving stored soil water in semi-arid farming systems. In multi-crop rotations, cool- and warm-season crops are grown in sequence to meet goals of the integrated farming and ranching system, and each crop in the rotation complements the subsequent crop by supplying a continuous flow of essential SOM for soil nutrient cycling. Grazing animals serve an essential role in the system's sustainability as non-mechanized animal harvesters that reduce fossil fuel consumption and labor, and animal waste contributes soil nutrients to the system. Integrated systems' complementarity has contributed to greater soil nutrient cycling and crop yields, fertilizer reduction or elimination, greater yearling steer grazing net return, reduced cow wintering costs grazing crop residues, increased wildlife sightings, and reduced environmental footprint. Therefore, integrating crop and animal systems can reverse soil quality decline and adopting non-traditional procedures has resulted in a wider array of opportunities for sustainable agriculture and profitability.

  18. lands

    Directory of Open Access Journals (Sweden)

    A.T. O'Geen

    2015-04-01

    Full Text Available Groundwater pumping chronically exceeds natural recharge in many agricultural regions in California. A common method of recharging groundwater — when surface water is available — is to deliberately flood an open area, allowing water to percolate into an aquifer. However, open land suitable for this type of recharge is scarce. Flooding agricultural land during fallow or dormant periods has the potential to increase groundwater recharge substantially, but this approach has not been well studied. Using data on soils, topography and crop type, we developed a spatially explicit index of the suitability for groundwater recharge of land in all agricultural regions in California. We identified 3.6 million acres of agricultural land statewide as having Excellent or Good potential for groundwater recharge. The index provides preliminary guidance about the locations where groundwater recharge on agricultural land is likely to be feasible. A variety of institutional, infrastructure and other issues must also be addressed before this practice can be implemented widely.

  19. Sustainability of integrated land and water resources management in the face of climate and land use changes

    Science.gov (United States)

    Setegn, Shimelis

    2017-04-01

    Sustainable development integrates economic development, social development, and environmental protection. Land and Water resources are under severe pressure from increasing populations, fast development, deforestation, intensification of agriculture and the degrading environment in many part of the world. The demand for adequate and safe supplies of water is becoming crucial especially in the overpopulated urban centers of the Caribbean islands. Moreover, population growth coupled with environmental degradation and possible adverse impacts of land use and climate change are major factors limiting freshwater resource availability. The main objective of this study is to develop a hydrological model and analyze the spatiotemporal variability of hydrological processes in the Caribbean islands of Puerto Rico and Jamaica. Physically based eco-hydrological model was developed and calibrated in the Rio Grande Manati and Wag water watershed. Spatial distribution of annual hydrological processes, water balance components for wet and dry years, and annual hydrological water balance of the watershed are discussed. The impact of land use and climate change are addressed in the watersheds. Appropriate nature based adaptation strategies were evaluated. The study will present a good understanding of advantages and disadvantages of nature-based solutions for adapting climate change, hydro-meteorological risks and other extreme hydrological events.

  20. [Social constructionism in primary health care: an integrative review].

    Science.gov (United States)

    Cadoná, Eliane; Scarparo, Helena

    2015-09-01

    This study sets out to analyze scientific articles in order to investigate how researchers in the area of Social Constructionism define "health" in Primary Health Care. An integrative review of the literature was conducted along with a decision to concentrate on those works with narrative experiences and research studies. The database researched was the Brazilian Virtual Health Library, with experiences in the scope of Primary Health Care. The effectiveness of this step resulted in 12 articles. Data were analyzed and discussed based on the perspectives of social constructionism, which generated two central themes. They were: citizenship exercises - promoting health in collective spaces; health practices - overcoming the dichotomies and absolute truths. This study revealed the relevance of the notion of shared responsibility on meanings of health contained in the texts analyzed. The researchers claim that it is possible to expand health practices into collective action to facilitate ongoing dialogue between health users and workers. However, the dominance of biomedical discourse is criticized by the researchers, because that paradigm still promotes practices of care focused on illness.

  1. Towards a model for integrative medicine in Swedish primary care

    Directory of Open Access Journals (Sweden)

    Falkenberg Torkel

    2007-07-01

    Full Text Available Abstract Background Collaboration between providers of conventional care and complementary therapies (CTs has gained in popularity but there is a lack of conceptualised models for delivering such care, i.e. integrative medicine (IM. The aim of this paper is to describe some key findings relevant to the development and implementation of a proposed model for IM adapted to Swedish primary care. Methods Investigative procedures involved research group and key informant meetings with multiple stakeholders including general practitioners, CT providers, medical specialists, primary care administrators and county council representatives. Data collection included meeting notes which were fed back within the research group and used as ongoing working documents. Data analysis was made by immersion/crystallisation and research group consensus. Results were categorised within a public health systems framework of structures, processes and outcomes. Results The outcome was an IM model that aimed for a patient-centered, interdisciplinary, non-hierarchical mix of conventional and complementary medical solutions to individual case management of patients with pain in the lower back and/or neck. The IM model case management adhered to standard clinical practice including active partnership between a gate-keeping general practitioner, collaborating with a team of CT providers in a consensus case conference model of care. CTs with an emerging evidence base included Swedish massage therapy, manual therapy/naprapathy, shiatsu, acupuncture and qigong. Conclusion Despite identified barriers such as no formal recognition of CT professions in Sweden, it was possible to develop a model for IM adapted to Swedish primary care. The IM model calls for testing and refinement in a pragmatic randomised controlled trial to explore its clinical effectiveness.

  2. Occupational Health Services Integrated in Primary Health Care in Iran.

    Science.gov (United States)

    Rafiei, Masoud; Ezzatian, Reza; Farshad, Asghar; Sokooti, Maryam; Tabibi, Ramin; Colosio, Claudio

    2015-01-01

    A healthy workforce is vital for maintaining social and economic development on a global, national and local level. Around half of the world's people are economically active and spend at least one third of their time in their place of work while only 15% of workers have access to basic occupational health services. According to WHO report, since the early 1980s, health indicators in Iran have consistently improved, to the extent that it is comparable with those in developed countries. In this paper it was tried to briefly describe about Health care system and occupational Health Services as part of Primary Health care in Iran. To describe the health care system in the country and the status of occupational health services to the workers and employers, its integration into Primary Health Care (PHC) and outlining the challenges in provision of occupational health services to the all working population. Iran has fairly good health indicators. More than 85 percent of the population in rural and deprived regions, for instance, have access to primary healthcare services. The PHC centers provide essential healthcare and public-health services for the community. Providing, maintaining and improving of the workers' health are the main goals of occupational health services in Iran that are presented by different approaches and mostly through Workers' Houses in the PHC system. Iran has developed an extensive network of PHC facilities with good coverage in most rural areas, but there are still few remote areas that might suffer from inadequate services. It seems that there is still no transparent policy to collaborate with the private sector, train managers or provide a sustainable mechanism for improving the quality of services. Finally, strengthening national policies for health at work, promotion of healthy work and work environment, sharing healthy work practices, developing updated training curricula to improve human resource knowledge including occupational health

  3. Reduced anterior internal capsule white matter integrity in primary insomnia.

    Science.gov (United States)

    Spiegelhalder, Kai; Regen, Wolfram; Prem, Martin; Baglioni, Chiara; Nissen, Christoph; Feige, Bernd; Schnell, Susanne; Kiselev, Valerij G; Hennig, Jürgen; Riemann, Dieter

    2014-07-01

    Chronic insomnia is one of the most prevalent central nervous system diseases, however, its neurobiology is poorly understood. Up to now, nothing is known about the integrity of white matter tracts in insomnia patients. In this study, diffusion tensor imaging (DTI) was used in a well-characterized sample of primary insomnia (PI) patients and good sleeper controls to fill this void. Voxelwise between-group comparisons of fractional anisotropy (FA) were performed in 24 PI patients (10 males; 14 females; 42.7 ± 14.5 years) and 35 healthy good sleepers (15 males; 20 females; 40.1 ± 9.1 years) with age and sex as covariates. PI patients showed reduced FA values within the right anterior internal capsule and a trend for reduced FA values in the left anterior internal capsule. The results suggest that insomnia is associated with a reduced integrity of white matter tracts in the anterior internal capsule indicating that disturbed fronto-subcortical connectivity may be a cause or consequence of the disorder.

  4. Landscape integration and harmonization assessment guide : wind farm siting project on public land

    Energy Technology Data Exchange (ETDEWEB)

    Bouchard, M.A.; Boudart, M.; Arsenault, M.; Lauzon, M.; Lizotte, C.; Munoz, P.; Poirier, C.; Guimont, C.; Sainte-Marie, L.

    2005-07-01

    The development of a wind farm industry depends greatly on obtaining land use rights. This paper describes a program created by the Quebec Government to make public land available for wind farm construction. In particular, the program allows the government to set aside public land to promote the development of the wind industry in the Gaspe Region and the Matane Regional County Municipality. It also awards land rights for wind farm construction to bidders who have signed wind energy sales contracts with Hydro-Quebec Distribution. The program allows the government to set lease rates for public land used for wind farms based on market rates. This document is a guide used by Quebec's Ministry of Natural Resources to evaluate projects and issue leases for parcels of public land to be used for wind turbine arrays. It identifies major landscape issues associated with wind farms and allows proponents to demonstrate the natural and anthropogenic impacts of a wind farm on the landscape and present mitigative measures to minimize these impacts. This document also identifies the wind farm landscape integration and harmonization principles for public lands in Quebec. It was noted that wind farm projects with 10 MW capacity or less are not subject to guidelines established by the Quebec Ministry of Sustainable Development, Environment and Parks. 23 refs., 2 tabs.

  5. A GIS-based integrative approach for land use optimization in a semi-arid watershed

    Directory of Open Access Journals (Sweden)

    S.M. Tajbakhsh

    2018-01-01

    Full Text Available The proper use of natural resources can preserve these valuable assets. In line with the management of natural resources, land use optimization can be highly useful. The aim of the present study is to propose an appropriate integrative model for optimized allocation of lands for surface runoff and sediment load minimization and net income maximization in Bayg watershed, Iran. In this study, five categories of land uses, i.e. irrigated orchard, rangeland, irrigated farming, rainfed farming and almond orchard were spatially optimized to minimize surface runoff and sediment yield and to increase net income by integrating three approaches: weighted goal programming, analytic hierarchy process and multi-objective land allocation algorithm. To achieve the target levels in this work, the acreages of almond orchard and rainfed farming should be reduced by 100% and 37.32% respectively, and irrigated farming acreage should be increased by 138.53%. Through these alterations in the land use acreage, the sediment load will be reduced by 16.78% and net income will be improved by 72.52%. However, runoff volume will be increased by 0.22%. Results indicated that weighted goal programming satisfied 96% and 46% of the target levels of sediment load and net income respectively, but failed to reduce runoff volume. Therefore, it is necessary for managers to control runoff using the strategies related to runoff harvesting, especially on steep slopes. Generally, it can be concluded that a combination of the techniques weighted goal programming, analytic hierarchy process and multi-objective land allocation is highly capable to optimize land use and land covers based on the conflicting objectives.

  6. Integrating fire management into land management planning for west-side forests

    Science.gov (United States)

    Peter D. Teensma

    1996-01-01

    Fire management's integration into land management planning is critical to the successful management of nearly all wildland ecosystems, including westside forests, which lie west of the Cascade crest in Oregon and the northern coastal ranges in California. Restoration and maintenance of fire as an ecosystem process is critical to retention of biological diversity...

  7. Development of an Integrated GIS and Land Use Planning Course: Impacts of Hybrid Instructional Methods

    Science.gov (United States)

    Kamruzzaman, M.

    2014-01-01

    This study reports an action research undertaken at Queensland University of Technology. It evaluates the effectiveness of the integration of geographic information systems (GIS) within the substantive domains of an existing land use planning course in 2011. Using student performance, learning experience survey, and questionnaire survey data, it…

  8. Integrating Geospatial Technologies to Examine Urban Land Use Change: A Design Partnership

    Science.gov (United States)

    Bodzin, Alec M.; Cirucci, Lori

    2009-01-01

    This article describes a design partnership that investigated how to integrate Google Earth, remotely sensed satellite and aerial imagery, with other instructional resources to investigate ground cover and land use in diverse middle school classrooms. Data analysis from the implementation study revealed that students acquired skills for…

  9. Integrating mental health into primary care: a global perspective

    National Research Council Canada - National Science Library

    Funk, Michelle

    2008-01-01

    ... for mental disorders is enormous 4. Primary care for mental health enhances access 5. Primary care for mental health promotes respect of human rights 6. Primary care for mental health is affordab...

  10. Linking primary production, climate and land use along an urban-wildland transect: a satellite view

    International Nuclear Information System (INIS)

    Hu Yonghong; Jia Gensuo; Guo Huadong

    2009-01-01

    Variation of green vegetation cover influences local climate dynamics, exchange of water-heat between land and atmosphere, and hydrological processes. However, the mechanism of interaction between vegetation and local climate change in subtropical areas under climate warming and anthropogenic disturbances is poorly understood. We analyzed spatial-temporal trends of vegetation with moderate-resolution imaging spectroradiometer (MODIS) vegetation index datasets over three sections, namely urban, urban-rural fringe and wildland along an urban-wildland transect in a southern mega-city area in China from 2000-2008. The results show increased photosynthetic activity occurred in the wildland and the stable urban landscape in correspondence to the rising temperature, and a considerable decrease of vegetation activity in the urban-rural fringe area, apparently due to urban expansion. On analyzing the controlling factors of climate change and human drivers of vegetation cover change, we found that temperature contributed to vegetation growth more than precipitation and that rising temperature accelerated plant physiological activity. Meanwhile, human-induced dramatic modification of land cover, e.g. conversion of natural forest and cropland to built-up areas in the urban-rural fringe, has caused significant changes of green vegetation fraction and overall primary production, which may further influence local climate.

  11. The long term importance of English primary care groups for integration in primary health care and deinstitutionalisation of hospital care.

    Science.gov (United States)

    Goodwin, N

    2001-01-01

    This article reviews the impact of successive experiments in the development of primary care organisations in England and assesses the long-term importance of English primary care groups for the integration of health and community and health and social care and the deinstitutionalisation of hospital care. Governments in a number of Western countries are attempting to improve the efficiency, appropriateness and equity of their health systems. One of the main ways of doing this is to devolve provision and commissioning responsibility from national and regional organisations to more local agencies based in primary care. Such primary care organisations are allocated budgets that span both primary and secondary (hospital) services and also, potentially, social care. This article is based on a systematic review of the literature forthcoming from the UK Government's Department of Health-funded evaluations of successive primary care organisational developments. These include total purchasing pilots, GP commissioning group pilots, personal medical services pilots and primary care groups and trusts. Primary care organisations in England have proved to be a catalyst in facilitating the development of integrated care working between primary and community health services. Conversely, primary care organisations have proved less effective in promoting integration between health and social care agencies where most progress has been made at the strategic commissioning level. The development of primary care trusts in England is heralding an end to traditional community hospitals. The development of primary care groups in England are but an intermediate step of a policy progression towards future primary care-based organisations that will functionally integrate primary and community health services with local authority services under a single management umbrella.

  12. The long term importance of English primary care groups for integration in primary health care and deinstitutionalisation of hospital care

    Directory of Open Access Journals (Sweden)

    Nick Goodwin

    2001-03-01

    Full Text Available Purpose: This article reviews the impact of successive experiments in the development of primary care organisations in England and assesses the long-term importance of English primary care groups for the integration of health and community and health and social care and the deinstitutionalisation of hospital care. Theory: Governments in a number of Western countries are attempting to improve the efficiency, appropriateness and equity of their health systems. One of the main ways of doing this is to devolve provision and commissioning responsibility from national and regional organisations to more local agencies based in primary care. Such primary care organisations are allocated budgets that span both primary and secondary (hospital services and also, potentially, social care. Method: This article is based on a systematic review of the literature forthcoming from the UK Government's Department of Health-funded evaluations of successive primary care organisational developments. These include total purchasing pilots, GP commissioning group pilots, personal medical services pilots and primary care groups and trusts. Results: Primary care organisations in England have proved to be a catalyst in facilitating the development of integrated care working between primary and community health services. Conversely, primary care organisations have proved less effective in promoting integration between health and social care agencies where most progress has been made at the strategic commissioning level. The development of primary care trusts in England is heralding an end to traditional community hospitals. Conclusions: The development of primary care groups in England are but an intermediate step of a policy progression towards future primary care-based organisations that will functionally integrate primary and community health services with local authority services under a single management umbrella.

  13. Spatially explicit integrated modeling and economic valuation of climate driven land use change and its indirect effects.

    OpenAIRE

    Bateman, Ian; Agarwala, M.; Binner, A.; Coombes, E.; Day, B.; Ferrini, Silvia; Fezzi, C.; Hutchins, M.; Lovett, A.; Posen, P.

    2016-01-01

    We present an integrated model of the direct consequences of climate change on land use, and the indirect effects of induced land use change upon the natural environment. The model predicts climate-driven shifts in the profitability of alternative uses of agricultural land. Both the direct impact of climate change and the induced shift in land use patterns will cause secondary effects on the water environment, for which agriculture is the major source of diffuse pollution. We model the impact...

  14. Promoting Science and Technology in Primary Education: A Review of Integrated Curricula

    NARCIS (Netherlands)

    Drs Rens Gresnigt; Koeno Gravemeijer; Hanno Keulen, van; Liesbeth Baartman; Ruurd Taconis

    2014-01-01

    Integrated curricula seem promising for the increase of attention on science and technology in primary education. A clear picture of the advantages and disadvantages of integration efforts could help curriculum innovation. This review has focussed on integrated curricula in primary education from

  15. Promoting science and technology in primary education : a review of integrated curricula

    NARCIS (Netherlands)

    Gresnigt, H.L.L.; Taconis, R.; Keulen, van Hanno; Gravemeijer, K.P.E.; Baartman, L.K.J.

    2014-01-01

    Integrated curricula seem promising for the increase of attention on science and technology in primary education. A clear picture of the advantages and disadvantages of integration efforts could help curriculum innovation. This review has focused on integrated curricula in primary education from

  16. Promoting science and technology in primary education : a review of integrated curricula

    NARCIS (Netherlands)

    Hanno van Keulen; Rens Gresnigt; Liesbeth Baartman; Ruurd Taconis; Koeno Gravemeijer

    2014-01-01

    Integrated curricula seem promising for the increase of attention on science and technology in primary education. A clear picture of the advantages and disadvantages of integration efforts could help curriculum innovation. This review has focussed on integrated curricula in primary education from

  17. Land

    CSIR Research Space (South Africa)

    Audouin, M

    2007-01-01

    Full Text Available the factors contributing to desertification and practical measures necessary to combat desertification and mitigate the effect of drought. The priority issues reported on in this chapter are soil and veld degradation, and the loss of land for agricultural use....

  18. Integrated modelling and the impacts of water management on land use

    International Nuclear Information System (INIS)

    Dorner, W; Spachinger, K; Metzka, R

    2008-01-01

    River systems and the quantity and quality of water depend on the catchment, its structure and land use. In central Europe especially land is a scarce resource. This causes conflicts between different types of land use, but also with the interests of flood protection, nature conservation and the protection of water resources and water bodies in the flood plain and on a catchment scale. ILUP - Integrated Land Use Planning and River Basin Management was a project, funded by the European Union, to address the problems of conflicting interests within a catchment. It addressed the problems of conflicting land use from a hydrological perspective and with regard to the resulting problems of water management. Two test river basins, Vils and Rott, both with a catchment size of about 1000 square kilometres, were considered for the German part of the project. Objective of the project was to identify means of managing land use with regard to water management objectives and adapt planning strategies and methodologies of water management authorities to the new needs of catchment management and planning. Catchment models were derived to simulate hydrological processes, assess the safety of dams and improve the control strategy of detention reservoirs with regard to land use in the lower system. Hydrodynamic models provided the basis to assess flood prone areas, evaluate flood protection measures and analyze the impacts of river training and discharge on morphology. Erosion and transport models were used to assess the impacts of land use on water quality. Maps were compiled from model results to provide a basis for decision making. In test areas new ways of planning and implementation of measures were tested. As a result of model scenarios in combination with the socio economic situation in the catchment new methods of land management and land use management were derived and implemented in model areas. The results of the project show that new ways of managing land use in river

  19. Integrating Ecosystem Carbon Dynamics into State-and-Transition Simulation Models of Land Use/Land Cover Change

    Science.gov (United States)

    Sleeter, B. M.; Daniel, C.; Frid, L.; Fortin, M. J.

    2016-12-01

    State-and-transition simulation models (STSMs) provide a general approach for incorporating uncertainty into forecasts of landscape change. Using a Monte Carlo approach, STSMs generate spatially-explicit projections of the state of a landscape based upon probabilistic transitions defined between states. While STSMs are based on the basic principles of Markov chains, they have additional properties that make them applicable to a wide range of questions and types of landscapes. A current limitation of STSMs is that they are only able to track the fate of discrete state variables, such as land use/land cover (LULC) classes. There are some landscape modelling questions, however, for which continuous state variables - for example carbon biomass - are also required. Here we present a new approach for integrating continuous state variables into spatially-explicit STSMs. Specifically we allow any number of continuous state variables to be defined for each spatial cell in our simulations; the value of each continuous variable is then simulated forward in discrete time as a stochastic process based upon defined rates of change between variables. These rates can be defined as a function of the realized states and transitions of each cell in the STSM, thus providing a connection between the continuous variables and the dynamics of the landscape. We demonstrate this new approach by (1) developing a simple IPCC Tier 3 compliant model of ecosystem carbon biomass, where the continuous state variables are defined as terrestrial carbon biomass pools and the rates of change as carbon fluxes between pools, and (2) integrating this carbon model with an existing LULC change model for the state of Hawaii, USA.

  20. Future integrated aquifer vulnerability assessment considering land use / land cover and climate change using DRASTIC and SWAT

    Science.gov (United States)

    Jang, W.; Engel, B.; Chaubey, I.

    2015-12-01

    Climate change causes significant changes to temperature regimes and precipitation patterns across the world. Such alterations in climate pose serious risks for not only inland freshwater ecosystems but also groundwater systems, and may adversely affect numerous critical services they provide to humans. All groundwater results from precipitation, and precipitation is affected by climate change. Climate change is also influenced by land use / land cover (LULC) change and vice versa. According to Intergovernmental Panel on Climate Change (IPCC) reports, climate change is caused by global warming which is generated by the increase of greenhouse gas (GHG) emissions in the atmosphere. LULC change is a major driving factor causing an increase in GHG emissions. LULC change data (years 2006-2100) will be produced by the Land Transformation Model (LTM) which simulates spatial patterns of LULC change over time. MIROC5 (years 2006-2100) will be obtained considering GCMs and ensemble characteristics such as resolution and trend of temperature and precipitation which is a consistency check with observed data from local weather stations and historical data from GCMs output data. Thus, MIROC5 will be used to account for future climate change scenarios and relationship between future climate change and alteration of groundwater quality in this study. For efficient groundwater resources management, integrated aquifer vulnerability assessments (= intrinsic vulnerability + hazard potential assessment) are required. DRASTIC will be used to evaluate intrinsic vulnerability, and aquifer hazard potential will be evaluated by Soil and Water Assessment Tool (SWAT) which can simulate pollution potential from surface and transport properties of contaminants. Thus, for effective integrated aquifer vulnerability assessment for LULC and climate change in the Midwestern United States, future projected LULC and climate data from the LTM and GCMs will be incorporated with DRASTIC and SWAT. It is

  1. Review of behavioral health integration in primary care at Baylor Scott and White Healthcare, Central Region

    OpenAIRE

    Jolly, John B.; Fluet, Norman R.; Reis, Michael D.; Stern, Charles H.; Thompson, Alexander W.; Jolly, Gillian A.

    2016-01-01

    The integration of behavioral health services in primary care has been referred to in many ways, but ultimately refers to common structures and processes. Behavioral health is integrated into primary care because it increases the effectiveness and efficiency of providing care and reduces costs in the care of primary care patients. Reimbursement is one factor, if not the main factor, that determines the level of integration that can be achieved. The federal health reform agenda supports change...

  2. Relating Nimbus-7 37 GHz data to global land-surface evaporation, primary productivity and the atmospheric CO2 concentration

    Science.gov (United States)

    Choudhury, B. J.

    1988-01-01

    Global observations at 37 GHz by the Nimbus-7 SMMR are related to zonal variations of land surface evaporation and primary productivity, as well as to temporal variations of atmospheric CO2 concentration. The temporal variation of CO2 concentration and the zonal variations of evaporation and primary productivity are shown to be highly correlated with the satellite sensor data. The potential usefulness of the 37-GHz data for global biospheric and climate studies is noted.

  3. A transdisciplinary approach for supporting the integration of ecosystem services into land and water management

    Science.gov (United States)

    Fatt Siew, Tuck; Döll, Petra

    2015-04-01

    Transdisciplinary approaches are useful for supporting integrated land and water management. However, the implementation of the approach in practice to facilitate the co-production of useable socio-hydrological (and -ecological) knowledge among scientists and stakeholders is challenging. It requires appropriate methods to bring individuals with diverse interests and needs together and to integrate their knowledge for generating shared perspectives/understanding, identifying common goals, and developing actionable management strategies. The approach and the methods need, particularly, to be adapted to the local political and socio-cultural conditions. To demonstrate how knowledge co-production and integration can be done in practice, we present a transdisciplinary approach which has been implemented and adapted for supporting land and water management that takes ecosystem services into account in an arid region in northwestern China. Our approach comprises three steps: (1) stakeholder analysis and interdisciplinary knowledge integration, (2) elicitation of perspectives of scientists and stakeholders, scenario development, and identification of management strategies, and (3) evaluation of knowledge integration and social learning. Our adapted approach has enabled interdisciplinary and cross-sectoral communication among scientists and stakeholders. Furthermore, the application of a combination of participatory methods, including actor modeling, Bayesian Network modeling, and participatory scenario development, has contributed to the integration of system, target, and transformation knowledge of involved stakeholders. The realization of identified management strategies is unknown because other important and representative decision makers have not been involved in the transdisciplinary research process. The contribution of our transdisciplinary approach to social learning still needs to be assessed.

  4. Climate, Land-, Energy-, Water-use simulations (CLEWs) in Mauritius - an integrated optimisation approach

    Science.gov (United States)

    Alfstad, Thomas; Howells, Mark; Rogner, Holger; Ramos, Eunice; Zepeda, Eduardo

    2016-04-01

    The Climate, Land, Energy and Water (CLEW) framework is a set of methodologies for integrated assessment of resource systems. It was developed to provide a means to simultaneously address matters pertaining to energy, water and food security. This is done while both considering the impact that the utilization of these resources have on our climate, as well as how our ability to continue using these resources could be impacted by climate change. CLEW is being applied in Mauritius to provide policy relevant analysis for sustainable development. The work aims to explore the interplay among the different elements of a national sustainable development strategy. A driving motivation is to address issues pertaining to policy cohesion, by exploring cross-sectoral impacts of individual policies and measures. The analysis explores how policies and actions intended to promote sustainability, have ramifications beyond the sector of the economy where it is applied. A primary concern is to ensure that efforts undertaken in pursuit of one policy goal do not inadvertently compromise progress towards attaining goals in other areas. Conversely there may be instances where an action has multiple benefits across various areas. Identifying such trade-offs and synergies can provide additional insights into development policy and support formulation of robust sustainable development strategies. The agreed sustainable development goals clearly illustrate the multi-faceted and multi-dimensional nature of the development challenge, with many overlapping and interlinked concerns. This work focuses on the link between food, energy, water and climate policy, which has shown to be particularly closely intertwined. In Mauritius, the highly interlinked and interdependent nature of the energy and sugar industries for example, highlights the need for coherent and integrated assessment of the role of these sectors in support of sustainable development in the country. Promoting energy self

  5. Cover integrity in shallow land burial of low-level wastes: hydrology and erosion

    International Nuclear Information System (INIS)

    Lane, L.J.; Nyhan, J.W.

    1981-01-01

    Applications of a state-of-the-art technology for simulating hydrologic processes and erosion affecting cover integrity at shallow land waste burial sites are described. A nonpoint source pollution model developed for agricultural systems has been adapted for application to waste burial sites in semiarid and arid regions. Applications include designs for field experiments, evaluation of slope length and steepness, evaluation of various soil types, and evaluation of vegetative cover influencing erosion rates and the water balance within the soil profile

  6. Integration between terrestrial-based and satellite-based land mobile communications systems

    Science.gov (United States)

    Arcidiancono, Antonio

    1990-01-01

    A survey is given of several approaches to improving the performance and marketability of mobile satellite systems (MSS). The provision of voice/data services in the future regional European Land Mobile Satellite System (LMSS), network integration between the Digital Cellular Mobile System (GSM) and LMSS, the identification of critical areas for the implementation of integrated GSM/LMSS areas, space segment scenarios, LMSS for digital trunked private mobile radio (PMR) services, and code division multiple access (CDMA) techniques for a terrestrial/satellite system are covered.

  7. Inhalation of primary motor vehicle emissions: Effects of urbanpopulation and land area

    Energy Technology Data Exchange (ETDEWEB)

    Marshall, Julian D.; McKone, Thomas E.; Nazaroff, William W.

    2004-06-14

    Urban population density can influence transportation demand, as expressed through average daily vehicle-kilometers traveled per capita (VKT). In turn, changes in transportation demand influence total passenger vehicle emissions. Population density can also influence the fraction of total emissions that are inhaled by the exposed urban population. Equations are presented that describe these relationships for an idealized representation of an urban area. Using analytic solutions to these equations, we investigate the effect of three changes in urban population and urban land area (infill, sprawl, and constant-density growth) on per capita inhalation intake of primary pollutants from passenger vehicles. The magnitude of these effects depends on density-emissions elasticity ({var_epsilon}{sub e}), a normalized derivative relating change in population density to change in vehicle emissions. For example, if urban population increases, per capita intake is less with infill development than with constant-density growth if {var_epsilon}{sub e} is less than -0.5, while for {var_epsilon}{sub e} greater than -0.5 the reverse is true.

  8. Land surface temperature downscaling using random forest regression: primary result and sensitivity analysis

    Science.gov (United States)

    Pan, Xin; Cao, Chen; Yang, Yingbao; Li, Xiaolong; Shan, Liangliang; Zhu, Xi

    2018-04-01

    The land surface temperature (LST) derived from thermal infrared satellite images is a meaningful variable in many remote sensing applications. However, at present, the spatial resolution of the satellite thermal infrared remote sensing sensor is coarser, which cannot meet the needs. In this study, LST image was downscaled by a random forest model between LST and multiple predictors in an arid region with an oasis-desert ecotone. The proposed downscaling approach was evaluated using LST derived from the MODIS LST product of Zhangye City in Heihe Basin. The primary result of LST downscaling has been shown that the distribution of downscaled LST matched with that of the ecosystem of oasis and desert. By the way of sensitivity analysis, the most sensitive factors to LST downscaling were modified normalized difference water index (MNDWI)/normalized multi-band drought index (NMDI), soil adjusted vegetation index (SAVI)/ shortwave infrared reflectance (SWIR)/normalized difference vegetation index (NDVI), normalized difference building index (NDBI)/SAVI and SWIR/NDBI/MNDWI/NDWI for the region of water, vegetation, building and desert, with LST variation (at most) of 0.20/-0.22 K, 0.92/0.62/0.46 K, 0.28/-0.29 K and 3.87/-1.53/-0.64/-0.25 K in the situation of +/-0.02 predictor perturbances, respectively.

  9. Landscape characterization integrating expert and local spatial knowledge of land and forest resources.

    Science.gov (United States)

    Fagerholm, Nora; Käyhkö, Niina; Van Eetvelde, Veerle

    2013-09-01

    In many developing countries, political documentation acknowledges the crucial elements of participation and spatiality for effective land use planning. However, operative approaches to spatial data inclusion and representation in participatory land management are often lacking. In this paper, we apply and develop an integrated landscape characterization approach to enhance spatial knowledge generation about the complex human-nature interactions in landscapes in the context of Zanzibar, Tanzania. We apply an integrated landscape conceptualization as a theoretical framework where the expert and local knowledge can meet in spatial context. The characterization is based on combining multiple data sources in GIS, and involves local communities and their local spatial knowledge since the beginning into the process. Focusing on the expected information needs for community forest management, our characterization integrates physical landscape features and retrospective landscape change data with place-specific community knowledge collected through participatory GIS techniques. The characterization is established in a map form consisting of four themes and their synthesis. The characterization maps are designed to support intuitive interpretation, express the inherently uncertain nature of the data, and accompanied by photographs to enhance communication. Visual interpretation of the characterization mediates information about the character of areas and places in the studied local landscape, depicting the role of forest resources as part of the landscape entity. We conclude that landscape characterization applied in GIS is a highly potential tool for participatory land and resource management, where spatial argumentation, stakeholder communication, and empowerment are critical issues.

  10. Evaluating the role of land cover and climate uncertainties in computing gross primary production in Hawaiian Island ecosystems.

    Science.gov (United States)

    Kimball, Heather L; Selmants, Paul C; Moreno, Alvaro; Running, Steve W; Giardina, Christian P

    2017-01-01

    Gross primary production (GPP) is the Earth's largest carbon flux into the terrestrial biosphere and plays a critical role in regulating atmospheric chemistry and global climate. The Moderate Resolution Imaging Spectrometer (MODIS)-MOD17 data product is a widely used remote sensing-based model that provides global estimates of spatiotemporal trends in GPP. When the MOD17 algorithm is applied to regional scale heterogeneous landscapes, input data from coarse resolution land cover and climate products may increase uncertainty in GPP estimates, especially in high productivity tropical ecosystems. We examined the influence of using locally specific land cover and high-resolution local climate input data on MOD17 estimates of GPP for the State of Hawaii, a heterogeneous and discontinuous tropical landscape. Replacing the global land cover data input product (MOD12Q1) with Hawaii-specific land cover data reduced statewide GPP estimates by ~8%, primarily because the Hawaii-specific land cover map had less vegetated land area compared to the global land cover product. Replacing coarse resolution GMAO climate data with Hawaii-specific high-resolution climate data also reduced statewide GPP estimates by ~8% because of the higher spatial variability of photosynthetically active radiation (PAR) in the Hawaii-specific climate data. The combined use of both Hawaii-specific land cover and high-resolution Hawaii climate data inputs reduced statewide GPP by ~16%, suggesting equal and independent influence on MOD17 GPP estimates. Our sensitivity analyses within a heterogeneous tropical landscape suggest that refined global land cover and climate data sets may contribute to an enhanced MOD17 product at a variety of spatial scales.

  11. Impacts of agricultural land use on biological integrity: A causal analysis

    Science.gov (United States)

    Riseng, C.M.; Wiley, M.J.; Black, R.W.; Munn, M.D.

    2011-01-01

    Agricultural land use has often been linked to nutrient enrichment, habitat degradation, hydrologic alteration, and loss of biotic integrity in streams. The U.S. Geological Survey's National Water Quality Assessment Program sampled 226 stream sites located in eight agriculture-dominated study units across the United States to investigate the geographic variability and causes of agricultural impacts on stream biotic integrity. In this analysis we used structural equation modeling (SEM) to develop a national and set of regional causal models linking agricultural land use to measured instream conditions. We then examined the direct, indirect, and total effects of agriculture on biotic integrity as it acted through multiple water quality and habitat pathways. In our nation-wide model, cropland affected benthic communities by both altering structural habitats and by imposing water quality-related stresses. Regionspecific modeling demonstrated that geographic context altered the relative importance of causal pathways through which agricultural activities affected stream biotic integrity. Cropland had strong negative total effects on the invertebrate community in the national, Midwest, and Western models, but a very weak effect in the Eastern Coastal Plain model. In theWestern Arid and Eastern Coastal Plain study regions, cropland impacts were transmitted primarily through dissolved water quality contaminants, but in the Midwestern region, they were transmitted primarily through particulate components of water quality. Habitat effects were important in the Western Arid model, but negligible in the Midwest and Eastern Coastal Plain models. The relative effects of riparian forested wetlands also varied regionally, having positive effects on biotic integrity in the Eastern Coastal Plain andWestern Arid region models, but no statistically significant effect in the Midwest. These differences in response to cropland and riparian cover suggest that best management practices and

  12. Integration of Mental Health into Primary Health Care in a rural ...

    African Journals Online (AJOL)

    Objective: Mental health has been identified as a major priority in the Ugandan Health Sector Strategic Plan. Efforts are currently underway to integrate mental health services into the Primary Health Care system. In this study, we report aspects of the integration of mental health into primary health care in one rural district in ...

  13. Integrating address geocoding, land use regression, and spatiotemporal geostatistical estimation for groundwater tetrachloroethylene.

    Science.gov (United States)

    Messier, Kyle P; Akita, Yasuyuki; Serre, Marc L

    2012-03-06

    Geographic information systems (GIS) based techniques are cost-effective and efficient methods used by state agencies and epidemiology researchers for estimating concentration and exposure. However, budget limitations have made statewide assessments of contamination difficult, especially in groundwater media. Many studies have implemented address geocoding, land use regression, and geostatistics independently, but this is the first to examine the benefits of integrating these GIS techniques to address the need of statewide exposure assessments. A novel framework for concentration exposure is introduced that integrates address geocoding, land use regression (LUR), below detect data modeling, and Bayesian Maximum Entropy (BME). A LUR model was developed for tetrachloroethylene that accounts for point sources and flow direction. We then integrate the LUR model into the BME method as a mean trend while also modeling below detects data as a truncated Gaussian probability distribution function. We increase available PCE data 4.7 times from previously available databases through multistage geocoding. The LUR model shows significant influence of dry cleaners at short ranges. The integration of the LUR model as mean trend in BME results in a 7.5% decrease in cross validation mean square error compared to BME with a constant mean trend.

  14. Artistic Technology Integration: Stories From Primary and Elementary Classrooms

    Science.gov (United States)

    Steckel, Barbara; Shinas, Valerie Harlow; Van Vaerenewyck, Leah

    2015-01-01

    The purpose of this article is to inform teachers about the ways technology can be integrated to add value to literacy instruction. Artistic technology-integrated literacy and disciplinary instruction in preK through grade 4 classrooms is described through the stories of five teachers who were identified as both strong teachers of literacy and…

  15. Application of Intel Many Integrated Core (MIC) accelerators to the Pleim-Xiu land surface scheme

    Science.gov (United States)

    Huang, Melin; Huang, Bormin; Huang, Allen H.

    2015-10-01

    The land-surface model (LSM) is one physics process in the weather research and forecast (WRF) model. The LSM includes atmospheric information from the surface layer scheme, radiative forcing from the radiation scheme, and precipitation forcing from the microphysics and convective schemes, together with internal information on the land's state variables and land-surface properties. The LSM is to provide heat and moisture fluxes over land points and sea-ice points. The Pleim-Xiu (PX) scheme is one LSM. The PX LSM features three pathways for moisture fluxes: evapotranspiration, soil evaporation, and evaporation from wet canopies. To accelerate the computation process of this scheme, we employ Intel Xeon Phi Many Integrated Core (MIC) Architecture as it is a multiprocessor computer structure with merits of efficient parallelization and vectorization essentials. Our results show that the MIC-based optimization of this scheme running on Xeon Phi coprocessor 7120P improves the performance by 2.3x and 11.7x as compared to the original code respectively running on one CPU socket (eight cores) and on one CPU core with Intel Xeon E5-2670.

  16. An integrated policy framework for the sustainable exploitation of biomass for bioenergy from marginal lands

    Science.gov (United States)

    Panoutsou, Calliope

    2017-04-01

    Currently, there are not sufficiently tailored policies focusing on biomass and bioenergy from marginal lands. This paper will provide an integrated policy framework and recommendations to facilitate understanding for the market sectors involved and the key principles which can be used to form future sustainable policies for this issue. The work will focus at EU level policy recommendations and discuss how these can interrelate with national and regional level policies to promote the usage of marginal lands for biomass and bioenergy. Recommended policy measures will be based on the findings of the Biomass Policies (www.biomasspolicies.eu) and S2Biom (www.s2biom.eu) projects and will be prepared taking into account the key influencing factors (technical, environmental, social and economic) on biomass and bioenergy from marginal lands: • across different types of marginality (biophysical such as: low temperature, dryness, excess soil moisture, poor chemical properties, steep slope, etc., and socio-economic resulting from lack of economic competitiveness in certain regions and crops, abandonment or rural areas, etc.) • across the different stages of the biomass value chain (supply, logistics, conversion, distribution and end-use). The aim of recommendations will be to inform policy makers on how to distinguish key policy related attributes across biomass and bioenergy from marginal lands, measure them and prioritise actions with a 'system' based approach.

  17. Integrating mental health services into primary HIV care for women: the Whole Life project.

    OpenAIRE

    Dodds, Sally; Nuehring, Elane M.; Blaney, Nancy T.; Blakley, Theresa; Lizzotte, Jean-Marie; Lopez, Myriam; Potter, JoNell E.; O'Sullivan, Mary J.

    2004-01-01

    The high rate of mental health problems in HIV-infected women jeopardizes the health of this vulnerable population, and constitutes a mandate for integrating mental health services into HIV primary care. The Whole Life project-a collaboration of the departments of Psychiatry and Obstetrics/Gynecology at the University of Miami School of Medicine-successfully integrated mental health services into primary HIV care for women. This article describes the conceptual framework of the integration, i...

  18. Preparation and Integration of ALHAT Precision Landing Technology for Morpheus Flight Testing

    Science.gov (United States)

    Carson, John M., III; Robertson, Edward A.; Pierrottet, Diego F.; Roback, Vincent E.; Trawny, Nikolas; Devolites, Jennifer L.; Hart, Jeremy J.; Estes, Jay N.; Gaddis, Gregory S.

    2014-01-01

    The Autonomous precision Landing and Hazard Avoidance Technology (ALHAT) project has developed a suite of prototype sensors for enabling autonomous and safe precision land- ing of robotic or crewed vehicles on solid solar bodies under varying terrain lighting condi- tions. The sensors include a Lidar-based Hazard Detection System (HDS), a multipurpose Navigation Doppler Lidar (NDL), and a long-range Laser Altimeter (LAlt). Preparation for terrestrial ight testing of ALHAT onboard the Morpheus free- ying, rocket-propelled ight test vehicle has been in progress since 2012, with ight tests over a lunar-like ter- rain eld occurring in Spring 2014. Signi cant work e orts within both the ALHAT and Morpheus projects has been required in the preparation of the sensors, vehicle, and test facilities for interfacing, integrating and verifying overall system performance to ensure readiness for ight testing. The ALHAT sensors have undergone numerous stand-alone sensor tests, simulations, and calibrations, along with integrated-system tests in special- ized gantries, trucks, helicopters and xed-wing aircraft. A lunar-like terrain environment was constructed for ALHAT system testing during Morpheus ights, and vibration and thermal testing of the ALHAT sensors was performed based on Morpheus ights prior to ALHAT integration. High- delity simulations were implemented to gain insight into integrated ALHAT sensors and Morpheus GN&C system performance, and command and telemetry interfacing and functional testing was conducted once the ALHAT sensors and electronics were integrated onto Morpheus. This paper captures some of the details and lessons learned in the planning, preparation and integration of the individual ALHAT sen- sors, the vehicle, and the test environment that led up to the joint ight tests.

  19. Modeling Urban Expansion and Agricultural Land Conversion in Henan Province, China: An Integration of Land Use and Socioeconomic Data

    Directory of Open Access Journals (Sweden)

    Li Jiang

    2016-09-01

    Full Text Available China has experienced rapid urban expansion and agricultural land loss, and the land conversion has accelerated in central provinces since the mid-1990s. The goal of this paper is to examine the relative importance of socioeconomic and policy factors on the urban conversion of agricultural land in Henan Province, China. Using panel econometric models, we examine how socioeconomic and policy factors affect agricultural land conversion at the county level across three time periods, 1995–2000, 2000–2005, and 2005–2010. The results show that both urban land rent and urban wages are essential factors that positively contribute to the conversion of agricultural land. It is also found that per capita GDP is correlated with more urban development and agricultural land loss. Consistent with expectations, agricultural financial support is negatively correlated with agricultural land conversion, suggesting a policy success. Finally, the decomposition analysis illustrates that urban wages are the most influential positive factor and agricultural financial support is the most influential negative factor affecting the urban conversion of agricultural land.

  20. Urban slum structure: integrating socioeconomic and land cover data to model slum evolution in Salvador, Brazil.

    Science.gov (United States)

    Hacker, Kathryn P; Seto, Karen C; Costa, Federico; Corburn, Jason; Reis, Mitermayer G; Ko, Albert I; Diuk-Wasser, Maria A

    2013-10-20

    The expansion of urban slums is a key challenge for public and social policy in the 21st century. The heterogeneous and dynamic nature of slum communities limits the use of rigid slum definitions. A systematic and flexible approach to characterize, delineate and model urban slum structure at an operational resolution is essential to plan, deploy, and monitor interventions at the local and national level. We modeled the multi-dimensional structure of urban slums in the city of Salvador, a city of 3 million inhabitants in Brazil, by integrating census-derived socioeconomic variables and remotely-sensed land cover variables. We assessed the correlation between the two sets of variables using canonical correlation analysis, identified land cover proxies for the socioeconomic variables, and produced an integrated map of deprivation in Salvador at 30 m × 30 m resolution. The canonical analysis identified three significant ordination axes that described the structure of Salvador census tracts according to land cover and socioeconomic features. The first canonical axis captured a gradient from crowded, low-income communities with corrugated roof housing to higher-income communities. The second canonical axis discriminated among socioeconomic variables characterizing the most marginalized census tracts, those without access to sanitation or piped water. The third canonical axis accounted for the least amount of variation, but discriminated between high-income areas with white-painted or tiled roofs from lower-income areas. Our approach captures the socioeconomic and land cover heterogeneity within and between slum settlements and identifies the most marginalized communities in a large, complex urban setting. These findings indicate that changes in the canonical scores for slum areas can be used to track their evolution and to monitor the impact of development programs such as slum upgrading.

  1. Towards realistic Holocene land cover scenarios: integration of archaeological, palynological and geomorphological records and comparison to global land cover scenarios.

    Science.gov (United States)

    De Brue, Hanne; Verstraeten, Gert; Broothaerts, Nils; Notebaert, Bastiaan

    2016-04-01

    Accurate and spatially explicit landscape reconstructions for distinct time periods in human history are essential for the quantification of the effect of anthropogenic land cover changes on, e.g., global biogeochemical cycles, ecology, and geomorphic processes, and to improve our understanding of interaction between humans and the environment in general. A long-term perspective covering Mid and Late Holocene land use changes is recommended in this context, as it provides a baseline to evaluate human impact in more recent periods. Previous efforts to assess the evolution and intensity of agricultural land cover in past centuries or millennia have predominantly focused on palynological records. An increasing number of quantitative techniques has been developed during the last two decades to transfer palynological data to land cover estimates. However, these techniques have to deal with equifinality issues and, furthermore, do not sufficiently allow to reconstruct spatial patterns of past land cover. On the other hand, several continental and global databases of historical anthropogenic land cover changes based on estimates of global population and the required agricultural land per capita have been developed in the past decennium. However, at such long temporal and spatial scales, reconstruction of past anthropogenic land cover intensities and spatial patterns necessarily involves many uncertainties and assumptions as well. Here, we present a novel approach that combines archaeological, palynological and geomorphological data for the Dijle catchment in the central Belgium Loess Belt in order to arrive at more realistic Holocene land cover histories. Multiple land cover scenarios (> 60.000) are constructed using probabilistic rules and used as input into a sediment delivery model (WaTEM/SEDEM). Model outcomes are confronted with a detailed geomorphic dataset on Holocene sediment fluxes and with REVEALS based estimates of vegetation cover using palynological data from

  2. Assessing the ability of MODIS EVI to estimate terrestrial ecosystem gross primary production of multiple land cover types

    Czech Academy of Sciences Publication Activity Database

    Shi, H.; Li, L.; Eamus, D.; Huete, A.; Cleverly, J.; Tian, X.; Yu, Q.; Wang, S.; Montagnani, L.; Magliulo, V.; Rotenberg, E.; Pavelka, Marian; Carrara, A.

    2017-01-01

    Roč. 72, Jan (2017), s. 153-164 ISSN 1470-160X R&D Projects: GA MŠk(CZ) LM2015061 Institutional support: RVO:67179843 Keywords : Enhanced vegetation index * Gross primary production * Land cover types * Leaf area index * MODIS * Remote sensing Subject RIV: EH - Ecology, Behaviour OBOR OECD: Environmental sciences (social aspects to be 5.7) Impact factor: 3.898, year: 2016

  3. Integrated Weed Control for Land Stewardship at Legacy Management's Rocky Flats Site in Colorado - 13086

    International Nuclear Information System (INIS)

    Nelson, Jody K.

    2013-01-01

    Land stewardship is one of nine sustainability programs in the U.S. Department of Energy's Environmental Management System. Land stewardship includes maintaining and improving ecosystem health. At the Rocky Flats Site near Westminster, Colorado, land stewardship is an integral component of the Office of Legacy Management's post-closure monitoring and management at the site. Nearly 263 hectares (650 acres) were disturbed and re-vegetated during site cleanup and closure operations. Proactive management of revegetation areas is critical to the successful reestablishment of native grasslands, wetlands, and riparian communities. The undisturbed native plant communities that occur at the site also require active management to maintain the high-quality wetlands and other habitats that are home to numerous species of birds and other wildlife such as elk and deer, rare plant communities, and the federally listed threatened Preble's meadow jumping mouse. Over the past several decades, an increase of Noxious weeds has impacted much of Colorado's Front Range. As a result, weed control is a key component of the land stewardship program at Rocky Flats. Thirty-three species of state-listed Noxious weeds are known to occur in the Central and Peripheral Operable Units at Rocky Flats, along with another five species that are considered invasive at the site. Early detection and rapid response to control new invasive species is crucial to the program. An integrated weed control/vegetation management approach is key to maintaining healthy, sustainable plant communities that are able to resist Noxious weed invasions. Weed mapping, field surveys, and field-staff training sessions (to learn how to identify new potential problem species) are conducted to help detect and prevent new weed problems. The integrated approach at Rocky Flats includes administrative and cultural techniques (prevention), mechanical controls, biological controls, and chemical controls. Several species of biocontrol

  4. Asymmetric Responses of Primary Productivity to Altered Precipitation Simulated by Land Surface Models across Three Long-term Grassland Sites

    Science.gov (United States)

    Wu, D.; Ciais, P.; Viovy, N.; Knapp, A.; Wilcox, K.; Bahn, M.; Smith, M. D.; Ito, A.; Arneth, A.; Harper, A. B.; Ukkola, A.; Paschalis, A.; Poulter, B.; Peng, C.; Reick, C. H.; Hayes, D. J.; Ricciuto, D. M.; Reinthaler, D.; Chen, G.; Tian, H.; Helene, G.; Zscheischler, J.; Mao, J.; Ingrisch, J.; Nabel, J.; Pongratz, J.; Boysen, L.; Kautz, M.; Schmitt, M.; Krohn, M.; Zeng, N.; Meir, P.; Zhang, Q.; Zhu, Q.; Hasibeder, R.; Vicca, S.; Sippel, S.; Dangal, S. R. S.; Fatichi, S.; Sitch, S.; Shi, X.; Wang, Y.; Luo, Y.; Liu, Y.; Piao, S.

    2017-12-01

    Changes in precipitation variability including the occurrence of extreme events strongly influence plant growth in grasslands. Field measurements of aboveground net primary production (ANPP) in temperate grasslands suggest a positive asymmetric response with wet years resulting in ANPP gains larger than ANPP declines in dry years. Whether land surface models used for historical simulations and future projections of the coupled carbon-water system in grasslands are capable to simulate such non-symmetrical ANPP responses remains an important open research question. In this study, we evaluate the simulated responses of grassland primary productivity to altered precipitation with fourteen land surface models at the three sites of Colorado Shortgrass Steppe (SGS), Konza prairie (KNZ) and Stubai Valley meadow (STU) along a rainfall gradient from dry to wet. Our results suggest that: (i) Gross primary production (GPP), NPP, ANPP and belowground NPP (BNPP) show nonlinear response curves (concave-down) in all the models, but with different curvatures and mean values. In contrast across the sites, primary production increases and then saturates along increasing precipitation with a flattening at the wetter site. (ii) Slopes of spatial relationships between modeled primary production and precipitation are steeper than the temporal slopes (obtained from inter-annual variations). (iii) Asymmetric responses under nominal precipitation range with modeled inter-annual primary production show large uncertainties, and model-ensemble median generally suggests negative asymmetry (greater declines in dry years than increases in wet years) across the three sites. (iv) Primary production at the drier site is predicted to more sensitive to precipitation compared to wetter site, and median sensitivity consistently indicates greater negative impacts of reduced precipitation than positive effects of increased precipitation under extreme conditions. This study implies that most models

  5. Integrating mental health into primary health care – Uganda's ...

    African Journals Online (AJOL)

    Adele

    demographic and health indicators.1 The data showed a high growth rate in excess of 3% ... an integrated form with all other health care needs including promotive and ... In 1999 the government of Uganda (Ministry of Health) developed a ten .... The usual drug procurement system was strengthened with a special project.

  6. From land use to land cover: Restoring the afforestation signal in a coupled integrated assessment - earth system model and the implications for CMIP5 RCP simulations

    Energy Technology Data Exchange (ETDEWEB)

    Di Vittorio, Alan V. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Chini, Louise M. [Univ. of Maryland, College Park, MD (United States); Bond-Lamberty, Benjamin [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Mao, Jiafu [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Shi, Xiaoying [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Truesdale, John E. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Craig, Anthony P. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Calvin, Katherine V. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Jones, Andrew D. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Collins, William D. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Edmonds, James A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Hurtt, George [Univ. of Maryland, College Park, MD (United States); Thornton, Peter E. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Thomson, Allison M. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2014-11-27

    Climate projections depend on scenarios of fossil fuel emissions and land use change, and the IPCC AR5 parallel process assumes consistent climate scenarios across Integrated Assessment and Earth System Models (IAMs and ESMs). To facilitate consistency, CMIP5 used a novel land use harmonization to provide ESMs with seamless, 1500-2100 land use trajectories generated by historical data and four IAMs. However, we have identified and partially addressed a major gap in the CMIP5 land coupling design. The CMIP5 Community ESM (CESM) global afforestation is only 22% of RCP4.5 afforestation from 2005 to 2100. Likewise, only 17% of the Global Change Assessment Model’s (GCAM’s) 2040 RCP4.5 afforestation signal, and none of the pasture loss, were transmitted to CESM within a newly integrated model. This is a critical problem because afforestation is necessary for achieving the RCP4.5 climate stabilization. We attempted to rectify this problem by modifying only the ESM component of the integrated model, enabling CESM to simulate 66% of GCAM’s afforestation in 2040, and 94% of GCAM’s pasture loss as grassland and shrubland losses. This additional afforestation increases vegetation carbon gain by 19 PgC and decreases atmospheric CO2 gain by 8 ppmv from 2005 to 2040, implying different climate scenarios between CMIP5 GCAM and CESM. Similar inconsistencies likely exist in other CMIP5 model results, primarily because land cover information is not shared between models, with possible contributions from afforestation exceeding model-specific, potentially viable forest area. Further work to harmonize land cover among models will be required to adequately rectify this problem.

  7. Recent Progresses in Incorporating Human Land-Water Management into Global Land Surface Models Toward Their Integration into Earth System Models

    Science.gov (United States)

    Pokhrel, Yadu N.; Hanasaki, Naota; Wada, Yoshihide; Kim, Hyungjun

    2016-01-01

    The global water cycle has been profoundly affected by human land-water management. As the changes in the water cycle on land can affect the functioning of a wide range of biophysical and biogeochemical processes of the Earth system, it is essential to represent human land-water management in Earth system models (ESMs). During the recent past, noteworthy progress has been made in large-scale modeling of human impacts on the water cycle but sufficient advancements have not yet been made in integrating the newly developed schemes into ESMs. This study reviews the progresses made in incorporating human factors in large-scale hydrological models and their integration into ESMs. The study focuses primarily on the recent advancements and existing challenges in incorporating human impacts in global land surface models (LSMs) as a way forward to the development of ESMs with humans as integral components, but a brief review of global hydrological models (GHMs) is also provided. The study begins with the general overview of human impacts on the water cycle. Then, the algorithms currently employed to represent irrigation, reservoir operation, and groundwater pumping are discussed. Next, methodological deficiencies in current modeling approaches and existing challenges are identified. Furthermore, light is shed on the sources of uncertainties associated with model parameterizations, grid resolution, and datasets used for forcing and validation. Finally, representing human land-water management in LSMs is highlighted as an important research direction toward developing integrated models using ESM frameworks for the holistic study of human-water interactions within the Earths system.

  8. Naturopathic physicians: holistic primary care and integrative medicine specialists.

    Science.gov (United States)

    Litchy, Andrew P

    2011-12-01

    The use of Complimentary and Alternative Medicine (CAM) is increasing in the United States; there is a need for physician level practitioners who possess extensive training in both CAM and conventional medicine. Naturopathic physicians possess training that allows integration of modern scientific knowledge and the age-old wisdom of natural healing techniques. Naturopathic philosophy provides a framework to implement CAM in concert with conventional therapies. The naturopathic physician's expertise in both conventional medicine and CAM allows a practice style that provides excellent care through employing conventional and CAM modalities while utilizing modern research and evidence-based medicine.

  9. A multi-landing pad DNA integration platform for mammalian cell engineering

    Science.gov (United States)

    Gaidukov, Leonid; Wroblewska, Liliana; Teague, Brian; Nelson, Tom; Zhang, Xin; Liu, Yan; Jagtap, Kalpana; Mamo, Selamawit; Tseng, Wen Allen; Lowe, Alexis; Das, Jishnu; Bandara, Kalpanie; Baijuraj, Swetha; Summers, Nevin M; Zhang, Lin; Weiss, Ron

    2018-01-01

    Abstract Engineering mammalian cell lines that stably express many transgenes requires the precise insertion of large amounts of heterologous DNA into well-characterized genomic loci, but current methods are limited. To facilitate reliable large-scale engineering of CHO cells, we identified 21 novel genomic sites that supported stable long-term expression of transgenes, and then constructed cell lines containing one, two or three ‘landing pad’ recombination sites at selected loci. By using a highly efficient BxB1 recombinase along with different selection markers at each site, we directed recombinase-mediated insertion of heterologous DNA to selected sites, including targeting all three with a single transfection. We used this method to controllably integrate up to nine copies of a monoclonal antibody, representing about 100 kb of heterologous DNA in 21 transcriptional units. Because the integration was targeted to pre-validated loci, recombinant protein expression remained stable for weeks and additional copies of the antibody cassette in the integrated payload resulted in a linear increase in antibody expression. Overall, this multi-copy site-specific integration platform allows for controllable and reproducible insertion of large amounts of DNA into stable genomic sites, which has broad applications for mammalian synthetic biology, recombinant protein production and biomanufacturing. PMID:29617873

  10. Meskhetian Turks in Fourth Land: Identity and Socio-economic Integration into American Society

    Directory of Open Access Journals (Sweden)

    Musa YAVUZ ALPTEKIN

    2014-05-01

    Full Text Available This study examines the socio-cultural life in the new land and integration processes into the host community of the 75 Meskhetian Turkish households resettled in Denver, Colorado. The traditional homeland of the Meskhetian Turks, as one of the dozens, if not hundreds, immigrant communities living the U.S.A., is Akhaltsikhe, a district in the region Samtskhe-Javakheti within the borders of the modern-day Georgia. In 1944, the Meskhetian Turks were forcibly removed from their homeland and exiled en masse to various countries in Central Asia by the Soviet Union. A significant part of those resettled in Uzbekistan were transferred to the city of Krasnodar in Russia, after the Ferghana Events of 1989. In 2004, due to the conditions of resettlement, 12,500 Meskhetian Turks immigrated to the U.S, under a refugee program, and dispersed throughout 26 states. Using the methods such as surveys, in-depth interviews and participant observation with an integrated approach, this study examined the family and community social structure of the Meskhetian Turks currently living intensively in Denver, Colorado. The study illustrated their cultural aspects, and tried to identify the present day of the process of integration into the U.S. society, as well as to envisage the probable future of this integration.

  11. The integration of occupational therapy into primary care: a multiple case study design

    Science.gov (United States)

    2013-01-01

    Background For over two decades occupational therapists have been encouraged to enhance their roles within primary care and focus on health promotion and prevention activities. While there is a clear fit between occupational therapy and primary care, there have been few practice examples, despite a growing body of evidence to support the role. In 2010, the province of Ontario, Canada provided funding to include occupational therapists as members of Family Health Teams, an interprofessional model of primary care. The integration of occupational therapists into this model of primary care is one of the first large scale initiatives of its kind in North America. The objective of the study was to examine how occupational therapy services are being integrated into primary care teams and understand the structures supporting the integration. Methods A multiple case study design was used to provide an in-depth description of the integration of occupational therapy. Four Family Health Teams with occupational therapists as part of the team were identified. Data collection included in-depth interviews, document analyses, and questionnaires. Results Each Family Health Team had a unique organizational structure that contributed to the integration of occupational therapy. Communication, trust and understanding of occupational therapy were key elements in the integration of occupational therapy into Family Health Teams, and were supported by a number of strategies including co-location, electronic medical records and team meetings. An understanding of occupational therapy was critical for integration into the team and physicians were less likely to understand the occupational therapy role than other health providers. Conclusion With an increased emphasis on interprofessional primary care, new professions will be integrated into primary healthcare teams. The study found that explicit strategies and structures are required to facilitate the integration of a new professional group

  12. Integrated modeling of land-use change: the role of coupling, interactions and feedbacks between the human and Earth systems

    Science.gov (United States)

    Monier, E.; Kicklighter, D. W.; Ejaz, Q.; Winchester, N.; Paltsev, S.; Reilly, J. M.

    2016-12-01

    Land-use change integrates a large number of components of the human and Earth systems, including climate, energy, water, and land. These complex coupling elements, interactions and feedbacks take place on a variety of space and time scales, thus increasing the complexity of land-use change modeling frameworks. In this study, we aim to identify which coupling elements, interactions and feedbacks are important for modeling land-use change, both at the global and regional level. First, we review the existing land-use change modeling framework used to develop land-use change projections for the Representative Concentration Pathways (RCP) scenarios. In such framework, land-use change is simulated by Integrated Assessment Models (IAMs) and mainly influenced by economic, energy, demographic and policy drivers. IAMs focus on representing the demand for agriculture and forestry goods (crops for food and bioenergy, forest products for construction and bioenergy), the interactions with other sectors of the economy and trade between various regions of the world. Then, we investigate how important various coupling elements and feedbacks with the Earth system are for projections of land-use change at the global and regional level. We focus on the following: i) the climate impacts on land productivity and greenhouse gas emissions, which requires climate change information and coupling to a terrestrial ecosystem model/crop model; ii) the climate and economic impacts on irrigation availability, which requires coupling the LUC modeling framework to a water resources management model and disaggregating rainfed and irrigated croplands; iii) the feedback of land-use change on the global and regional climate system through land-use change emissions and changes in the surface albedo and hydrology, which requires coupling to an Earth system model. Finally, we conclude our study by highlighting the current lack of clarity in how various components of the human and Earth systems are

  13. Autonomy of nurse practitioners in primary care: An integrative review.

    Science.gov (United States)

    Choi, Min; De Gagne, Jennie C

    2016-03-01

    This integrative review of the existing literature was conducted to identify dimensions related to nurse practitioner (NP) autonomy and to recommend future areas of research related to the important topic of NP autonomy in this era of cost-conscious healthcare reform. Articles were identified from the following databases: CINAHL, MEDLINE, PubMed, Ovid, Scopus, Google Scholar, and EBSCO. Over 24 articles were found; 12 peer-reviewed articles met the inclusion criteria of research conducted with NPs, physicians, and patients. The results revealed three categories of association with regard to NP autonomy: job satisfaction, patient satisfaction, and physician-NP collaboration. This review was undertaken to advance understanding of autonomy among NPs and the dynamics involved in their delivery of care. Further research into the associations between NP autonomy and its dimensions are necessary to indicate a future direction to the NP role. ©2015 American Association of Nurse Practitioners.

  14. Restoring crop productivity of eroded lands through , integrated plant nutrient management (IPNM) for sustained production

    International Nuclear Information System (INIS)

    Bhatti, A.U.; Ali, S.

    2005-01-01

    Crop productivity of eroded lands is very poor due to removal of top fertile soil losing organic matter and plant nutrients, with consequent exposure of the sub-soil with poor fertility status. Crop productivity of such lands needs to be restored in order to help farmers feed many mouths because of increased population and high land pressure. Three field experiments were laid out at three sites, Thana, Malakand Agency; Kabal and Matta, Swat during 2003-2004 to study the effect of integrated plant nutrient management on the yield of wheat. The fertilizer treatments consisted of farmer's practice (60-45-0 kg N-P/sub 2/O/sub 5/-K/sub 2/O ha/sup -1/), recommended fertilizer rate (120-90-60 kg N-P/sub 2/O/sub 5/-K/sub 2/O ha/sup -l/ + 5 kg Zn ha/sup -1), and combined application of organic and inorganic sources of plant nutrients (FYM at the rate of 20 t ha/sup -1/ plus 60-90-60 kg N-P/sub 2/O/sub 5/-K/sub 2/O ha/sup -1/ + 5 kg Zn ha/sup -1/). The results obtained from these field trails showed that the combined application of FYM with NPK Zn increased the grain yield significantly over the other two treatments with an increase of 50-80% over the farmer's practice and 11 to 23 % over the recommended dose. As regards straw yields, T/sub 2/ and T/sub 3/ increased the yields significantly over farmer's practice (T) at all the sites; However, T/sub 2/ and T/sub 3/ at Thana and Kabal were at par with each other. As regards effect of various treatments on soil properties, organic matter content was improved at Thana and Kabal sites while at Matta the results were inconsistent. Similarly soil P and Zn contents were increased considerably in T/sub 2/ and T/sub 3/ at Thana and Kabal being at par with each other. It is apparent from these results that the crop productivity of eroded lands at all the three sties was considerably restored and the soil fertility status was improved by integrated plant nutrient management. (author)

  15. The Benefits of Fine Art Integration into Mathematics in Primary School

    Science.gov (United States)

    Brezovnik, Anja

    2015-01-01

    The main purpose of the article is to research the effects of the integration of fine art content into mathematics on students at the primary school level. The theoretical part consists of the definition of arts integration into education, a discussion of the developmental process of creative mathematical thinking, an explanation of the position…

  16. Integration of ICTs into the Basic Curriculum in Primary Schools in ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Integration of ICTs into the Basic Curriculum in Primary Schools in Sénégal - Phase II ... for integrating ICTs at various stages of the teaching and learning process. ... première cohorte de chercheuses en science des changements climatiques.

  17. Rethinking Dabrowski's Theory: I. the Case against Primary Integration

    Science.gov (United States)

    Piechowski, Michael M.

    2014-01-01

    Some terms of Dabrowski's theory are misleading. The construct of level and the concepts of integration and disintegration mean different things. The concept of primary integration as a starting point for personality development is untenable in light of research on child development. In its place, Level I as a type of development that is…

  18. Updates to the Demographic and Spatial Allocation Models to Produce Integrated Climate and Land Use Scenarios (ICLUS) (Final Report, Version 2)

    Science.gov (United States)

    EPA's announced the availability of the final report, Updates to the Demographic and Spatial Allocation Models to Produce Integrated Climate and Land Use Scenarios (ICLUS) (Version 2). This update furthered land change modeling by providing nationwide housing developmen...

  19. Teachers' Integration of Scientific and Engineering Practices in Primary Classrooms

    Science.gov (United States)

    Merritt, Eileen G.; Chiu, Jennie; Peters-Burton, Erin; Bell, Randy

    2017-06-01

    The Next-Generation Science Standards (NGSS) challenge primary teachers and students to work and think like scientists and engineers as they strive to understand complex concepts. Teachers and teacher educators can leverage what is already known about inquiry teaching as they plan instruction to help students meet the new standards. This cross-case analysis of a multiple case study examined teacher practices in the context of a semester-long professional development course for elementary teachers. We reviewed lessons and teacher reflections, examining how kindergarten and first grade teachers incorporated NGSS scientific and engineering practices during inquiry-based instruction. We found that most of the teachers worked with their students on asking questions; planning and carrying out investigations; analyzing and interpreting data, using mathematics and computational thinking; and obtaining, evaluating and communicating information. Teachers faced challenges in supporting students in developing their own questions that could be investigated and using data collection strategies that aligned with students' development of number sense concepts. Also, some teachers overemphasized the scientific method and lacked clarity in how they elicited and responded to student predictions. Discussion focuses on teacher supports that will be needed as states transition to NGSS.

  20. From forest to farmland and moraine to meadow: Integrated modeling of Holocene land cover change

    Science.gov (United States)

    Kaplan, J. O.

    2012-12-01

    Did humans affect global climate over the before the Industrial Era? While this question is hotly debated, the co-evolution of humans and the natural environment over the last 11,700 years had an undisputed role in influencing the development and present state of terrestrial ecosystems, many of which are highly valued today as economic, cultural, and ecological resources. Yet we still have a very incomplete picture of human-environment interactions over the Holocene, both spatially and temporally. In order to address this problem, we combined a global dynamic vegetation model with a new model of preindustrial anthropogenic land cover change. We drive these integrated models with paleoclimate from GCM scenarios, a new synthesis of global demographic, technological, and economic development over preindustrial time, and a global database of historical urbanization covering the last 8000 years. We simulate land cover and land use change, fire, soil erosion, and emissions of CO2 and methane (CH4) from 11,700 years before present to AD 1850. We evaluate our simulations in part with a new set of continental-scale reconstructions of land cover based on records from the Global Pollen Database. Our model results show that climate and tectonic change controlled global land cover in the early Holocene, e.g., shifts in forest biomes in northern continents show an expansion of temperate tree types far to the north of their present day limits, but that by the early Iron Age (1000 BC), humans in Europe, east Asia, and Mesoamerica had a larger influence than natural processes on the landscape. 3000 years before present, anthropogenic deforestation was widespread with most areas of temperate Europe and southwest Asia, east-central China, northern India, and Mesoamerica occupied by a matrix of natural vegetation, cropland and pastures. Burned area and emissions of CO2 and CH4 from wildfires declined slowly over the entire Holocene, as landscape fragmentation and changing agricultural

  1. Review of behavioral health integration in primary care at Baylor Scott and White Healthcare, Central Region.

    Science.gov (United States)

    Jolly, John B; Fluet, Norman R; Reis, Michael D; Stern, Charles H; Thompson, Alexander W; Jolly, Gillian A

    2016-04-01

    The integration of behavioral health services in primary care has been referred to in many ways, but ultimately refers to common structures and processes. Behavioral health is integrated into primary care because it increases the effectiveness and efficiency of providing care and reduces costs in the care of primary care patients. Reimbursement is one factor, if not the main factor, that determines the level of integration that can be achieved. The federal health reform agenda supports changes that will eventually permit behavioral health to be fully integrated and will allow the health of the population to be the primary target of intervention. In an effort to develop more integrated services at Baylor Scott and White Healthcare, models of integration are reviewed and the advantages and disadvantages of each model are discussed. Recommendations to increase integration include adopting a disease management model with care management, planned guideline-based stepped care, follow-up, and treatment monitoring. Population-based interventions can be completed at the pace of the development of alternative reimbursement methods. The program should be based upon patient-centered medical home standards, and research is needed throughout the program development process.

  2. Hydro-economic modeling of integrated solutions for the water-energy-land nexus in Africa

    Science.gov (United States)

    Parkinson, S.; Kahil, M.; Wada, Y.; Krey, V.; Byers, E.; Johnson, N. A.; Burek, P.; Satoh, Y.; Willaarts, B.; Langan, S.; Riahi, K.

    2017-12-01

    This study focused on the development of the Extended Continental-scale Hydro-economic Optimization model (ECHO) and its application to the analysis of long-term water, energy and land use pathways for Africa. The framework is important because it integrates multi-decadal decisions surrounding investments into new water infrastructure, electric power generation and irrigation technologies. The improved linkages in ECHO reveal synergies between water allocation strategies across sectors and the greenhouse gas emissions resulting from electricity supply. The African case study features a reduced-form transboundary river network and associated environmental flow constraints covering surface and groundwater withdrawals. Interactions between local water constraints and the continental-scale economy are captured in the model through the combination of regional electricity markets. Spatially-explicit analysis of land availability is used to restrict future reservoir expansion. The analysis demonstrates the massive investments required to ensure rapidly expanding water, energy and food demands in Africa aligned with human development objectives are met in a sustainable way. Modeled constraints on environmental flows in line with presumptive ecological guidelines trigger diffusion of energy-intensive water supply technologies in water-stressed regions, with implications for the cost and speed of the electricity sector decarbonization required to achieve climate targets.

  3. Closing the loop: integrating human impacts on water resources to advanced land surface models

    Science.gov (United States)

    Zaitchik, B. F.; Nie, W.; Rodell, M.; Kumar, S.; Li, B.

    2016-12-01

    Advanced Land Surface Models (LSMs), including those used in the North American Land Data Assimilation System (NLDAS), offer a physically consistent and spatially and temporally complete analysis of the distributed water balance. These models are constrained both by physically-based process representation and by observations ingested as meteorological forcing or as data assimilation updates. As such, they have become important tools for hydrological monitoring and long-term climate analysis. The representation of water management, however, is extremely limited in these models. Recent advances have brought prognostic irrigation routines into models used in NLDAS, while assimilation of Gravity Recovery and Climate Experiment (GRACE) derived estimates of terrestrial water storage anomaly has made it possible to nudge models towards observed states in water storage below the root zone. But with few exceptions these LSMs do not account for the source of irrigation water, leading to a disconnect between the simulated water balance and the observed human impact on water resources. This inconsistency is unacceptable for long-term studies of climate change and human impact on water resources in North America. Here we define the modeling challenge, review instances of models that have begun to account for water withdrawals (e.g., CLM), and present ongoing efforts to improve representation of human impacts on water storage across models through integration of irrigation routines, water withdrawal information, and GRACE Data Assimilation in NLDAS LSMs.

  4. Integrating Building Energy Efficiency with Land Use and Transportation Planning in Jinan, China

    Directory of Open Access Journals (Sweden)

    Nicolae Duduta

    2013-02-01

    Full Text Available With the rapid growth occurring in the urban regions of China, it is critical to address issues of sustainability through practices that engender holistic energy efficient solutions. In this paper, we present results from a collaborative design project carried out with planning officials from the city of Jinan (population 3.4 million, for the Luokou district, a 3.1 km2 (1.2 mi2 area to the north of the CBD that is expected to house 100,000–130,000 people by 2020. By integrating sustainable building design, land use, urban design, and transportation, our proposal identified opportunities for improving energy efficiency that might have been overlooked by considering buildings and transportation separately. Mixed land uses and walkable neighborhoods were proposed along with highly differentiated street designs, intended to carry different traffic loads and prioritize diverse travel modes. Street widths and building heights were adjusted to maximize the potential for passive solar heating and daylight use within buildings. The district’s environmental performance, analyzed using building energy evaluation and traffic micro simulation models, showed that the design would reduce energy loads by over 25% compared to business as usual. While the proposal complied with national and local policies, and had far better energy performance than conventional designs, the proposal ultimately was not accepted by local officials because initial costs to the developers were higher than for conventional designs.

  5. Calibration of an integrated land surface process and radiobrightness (LSP/R) model during summertime

    Science.gov (United States)

    Judge, Jasmeet; England, Anthony W.; Metcalfe, John R.; McNichol, David; Goodison, Barry E.

    2008-01-01

    In this study, a soil vegetation and atmosphere transfer (SVAT) model was linked with a microwave emission model to simulate microwave signatures for different terrain during summertime, when the energy and moisture fluxes at the land surface are strong. The integrated model, land surface process/radiobrightness (LSP/R), was forced with weather and initial conditions observed during a field experiment. It simulated the fluxes and brightness temperatures for bare soil and brome grass in the Northern Great Plains. The model estimates of soil temperature and moisture profiles and terrain brightness temperatures were compared with the observed values. Overall, the LSP model provides realistic estimates of soil moisture and temperature profiles to be used with a microwave model. The maximum mean differences and standard deviations between the modeled and the observed temperatures (canopy and soil) were 2.6 K and 6.8 K, respectively; those for the volumetric soil moisture were 0.9% and 1.5%, respectively. Brightness temperatures at 19 GHz matched well with the observations for bare soil, when a rough surface model was incorporated indicating reduced dielectric sensitivity to soil moisture by surface roughness. The brightness temperatures of the brome grass matched well with the observations indicating that a simple emission model was sufficient to simulate accurate brightness temperatures for grass typical of that region and surface roughness was not a significant issue for grass-covered soil at 19 GHz. Such integrated SVAT-microwave models allow for direct assimilation of microwave observations and can also be used to understand sensitivity of microwave signatures to changes in weather forcings and soil conditions for different terrain types.

  6. The flow measurement methods for the primary system of integral reactors

    International Nuclear Information System (INIS)

    Lee, J.; Seo, J. K.; Lee, D. J.

    2001-01-01

    It is the common features of the integral reactors that the main components of the primary system are installed within the reactor vessel, and so there are no any flow pipes connecting the reactor coolant pumps or steam generators. Due to no any flow pipes, it is impossible to measure the differential pressure at the primary system of the integral reactors, and it also makes impossible measure the primary coolant flow rate. The objective of the study is to draw up the flow measurement methods for the primary system of integral reactors. As a result of the review, we have made a selection of the flow measurement method by pump speed, bt HBM, and by pump motor power as the flow measurement methods for the primary system of integral reactors. Peculiarly, we did not found out a precedent which the direct pump motor power-flow rate curve is used as the flow measurement method in the existing commercial nuclear power reactors. Therefore, to use this method for integral reactors, it is needed to bear the follow-up measures in mind. The follow-up measures is included in this report

  7. Development of web-based integrity evaluation system for primary components in a nuclear power plant

    International Nuclear Information System (INIS)

    Lee, S.M.; Kim, J.C.; Choi, J.B.; Kim, Y.J.; Choi, S.N.; Jang, K.S.; Hong, S.Y.

    2004-01-01

    A nuclear power plant is composed of a number of primary components. Maintaining the integrity of these components is one of the most critical issues in nuclear industry. In order to maintain the integrity of these primary components, a complicated procedure is required including periodical in-service inspection, failure assessment, fracture mechanics analysis, etc. Also, experts in different fields have to co-operate to resolve the integrity issues on the basis of inspection results. This integrity evaluation process usually takes long, and thus, is detrimental for the plant productivity. Therefore, an effective safety evaluation system is essential to manage integrity issues on a nuclear power plant. In this paper, a web-based integrity evaluation system for primary components in a nuclear power plant is proposed. The proposed system, which is named as WEBIES (web-based integrity evaluation system), has been developed in the form of 3-tier system architecture. The system consists of three servers; application program server, user interface program server and data warehouse server. The application program server includes the defect acceptance analysis module and the fracture mechanics analysis module which are programmed on the basis of ASME sec. XI, appendix A. The data warehouse server provides data for the integrity evaluation including material properties, geometry information, inspection data and stress data. The user interface program server provides information to all co- workers in the field of integrity evaluation. The developed system provides engineering knowledge-based information and concurrent and collaborative working environment through internet, and thus, is expected to raise the efficiency of integrity evaluation procedures on primary components of a nuclear power plant. (orig.)

  8. Development of web-based integrity evaluation system for primary components in a nuclear power plant

    Energy Technology Data Exchange (ETDEWEB)

    Lee, S.M.; Kim, J.C.; Choi, J.B.; Kim, Y.J. [SAFE Research Center, Sungkyunkwan Univ., Suwon (Korea); Choi, S.N.; Jang, K.S.; Hong, S.Y. [Korea Electronic Power Research Inst., Daejeon (Korea)

    2004-07-01

    A nuclear power plant is composed of a number of primary components. Maintaining the integrity of these components is one of the most critical issues in nuclear industry. In order to maintain the integrity of these primary components, a complicated procedure is required including periodical in-service inspection, failure assessment, fracture mechanics analysis, etc. Also, experts in different fields have to co-operate to resolve the integrity issues on the basis of inspection results. This integrity evaluation process usually takes long, and thus, is detrimental for the plant productivity. Therefore, an effective safety evaluation system is essential to manage integrity issues on a nuclear power plant. In this paper, a web-based integrity evaluation system for primary components in a nuclear power plant is proposed. The proposed system, which is named as WEBIES (web-based integrity evaluation system), has been developed in the form of 3-tier system architecture. The system consists of three servers; application program server, user interface program server and data warehouse server. The application program server includes the defect acceptance analysis module and the fracture mechanics analysis module which are programmed on the basis of ASME sec. XI, appendix A. The data warehouse server provides data for the integrity evaluation including material properties, geometry information, inspection data and stress data. The user interface program server provides information to all co- workers in the field of integrity evaluation. The developed system provides engineering knowledge-based information and concurrent and collaborative working environment through internet, and thus, is expected to raise the efficiency of integrity evaluation procedures on primary components of a nuclear power plant. (orig.)

  9. Survival and movement of the Congo forest mouse (Deomys ferrugineus): a comparison of primary rainforest and fallow land in Kisangani, Democratic Republic of the Congo

    DEFF Research Database (Denmark)

    Kennis, John; Laurent, Crespin; Amundala, Nicaise Drazo

    2012-01-01

    of habitat on rodent life history both in primary rainforest and fallow land. Survival analyses taking into account trap-happiness effects were conducted using the program MARK. Abundance of D. ferrugineus was generally low within all our study grids, but it was lowest in fallow land compared to primary...... rainforest. Numbers of reproductively active females captured were not different between habitats but were larger during the rainy seasons. Daily movements of females, but not of males, were smaller in fallow land. Capture-mark-recapture analyses showed recapture probabilities to vary highly between grids...

  10. Quantifying Impacts of Land-Use/Cover Change on Urban Vegetation Gross Primary Production: A Case Study of Wuhan, China

    Directory of Open Access Journals (Sweden)

    Shishi Liu

    2018-03-01

    Full Text Available This study quantified the impacts of land-use/cover change (LUCC on gross primary production (GPP during 2000–2013 in a typical densely urbanized Chinese city, Wuhan. GPP was estimated at 30-m spatial resolution using annual land cover maps, meteorological data of the baseline year, and the normalized difference vegetation index (NDVI, which was generated with the spatial and temporal adaptive reflectance fusion model (STARFM based on Landsat and MODIS images. The results showed that approximately 309.95 Gg C was lost over 13 years, which was mainly due to the conversion from cropland to built-up areas. The interannual variation of GPP was affected by the change of vegetation composition, especially the increasing relative fraction of forests. The loss of GPP due to the conversion from forest to cropland fluctuated through the study period, but showed a sharp decrease in 2007 and 2008. The gain of GPP due to the conversion from cropland to forest was low between 2001 and 2009, but increased dramatically between 2009 and 2013. The change rate map showed an increasing trend along the highways, and a decreasing trend around the metropolitan area and lakes. The results indicated that carbon consequences should be considered before land management policies are put forth.

  11. Advancing Land-Sea Conservation Planning: Integrating Modelling of Catchments, Land-Use Change, and River Plumes to Prioritise Catchment Management and Protection

    Science.gov (United States)

    Álvarez-Romero, Jorge G.; Pressey, Robert L.; Ban, Natalie C.; Brodie, Jon

    2015-01-01

    study demonstrates a practical approach to integrating models of catchments, land-use change, and river plumes with conservation planning software to inform prioritisation of catchment management. PMID:26714166

  12. Advancing Land-Sea Conservation Planning: Integrating Modelling of Catchments, Land-Use Change, and River Plumes to Prioritise Catchment Management and Protection.

    Directory of Open Access Journals (Sweden)

    Jorge G Álvarez-Romero

    sets of objectives. Our study demonstrates a practical approach to integrating models of catchments, land-use change, and river plumes with conservation planning software to inform prioritisation of catchment management.

  13. Advancing Land-Sea Conservation Planning: Integrating Modelling of Catchments, Land-Use Change, and River Plumes to Prioritise Catchment Management and Protection.

    Science.gov (United States)

    Álvarez-Romero, Jorge G; Pressey, Robert L; Ban, Natalie C; Brodie, Jon

    2015-01-01

    study demonstrates a practical approach to integrating models of catchments, land-use change, and river plumes with conservation planning software to inform prioritisation of catchment management.

  14. Integrating life-cycle environmental and economic assessment with transportation and land use planning.

    Science.gov (United States)

    Chester, Mikhail V; Nahlik, Matthew J; Fraser, Andrew M; Kimball, Mindy A; Garikapati, Venu M

    2013-01-01

    The environmental outcomes of urban form changes should couple life-cycle and behavioral assessment methods to better understand urban sustainability policy outcomes. Using Phoenix, Arizona light rail as a case study, an integrated transportation and land use life-cycle assessment (ITLU-LCA) framework is developed to assess the changes to energy consumption and air emissions from transit-oriented neighborhood designs. Residential travel, commercial travel, and building energy use are included and the framework integrates household behavior change assessment to explore the environmental and economic outcomes of policies that affect infrastructure. The results show that upfront environmental and economic investments are needed (through more energy-intense building materials for high-density structures) to produce long run benefits in reduced building energy use and automobile travel. The annualized life-cycle benefits of transit-oriented developments in Phoenix can range from 1.7 to 230 Gg CO2e depending on the aggressiveness of residential density. Midpoint impact stressors for respiratory effects and photochemical smog formation are also assessed and can be reduced by 1.2-170 Mg PM10e and 41-5200 Mg O3e annually. These benefits will come at an additional construction cost of up to $410 million resulting in a cost of avoided CO2e at $16-29 and household cost savings.

  15. Integrating mental health in primary healthcare in low-income countries

    DEFF Research Database (Denmark)

    Sørensen, Carina Winkler; Bæk, Ole; Kallestrup, Per

    2017-01-01

    . AIMS: This paper seeks to explore the rationale behind the WHO recommendations for improving mental health services in LICs. At the core of these recommendations is an integration of mental health services into existing primary healthcare. This article presents available research supporting...... from LICs that investigate mental health interventions is scarce. The evidence that does exist favours integration into primary healthcare. There is evidence that collaborative- and stepped-care interventions can provide viable treatment options for patients. CONCLUSION: Integration of mental health...... services into primary healthcare seems like a viable solution to ensure that treatment becomes more available, even though the evidence is limited. Locally conducted research is needed to guide the development of sustainable evidence-based mental health treatment, involving relevant healthcare providers...

  16. Integration of the primary health care approach into a community nursing science curriculum.

    Science.gov (United States)

    Vilakazi, S S; Chabeli, M M; Roos, S D

    2000-12-01

    The purpose of this article is to explore and describe guidelines for integration of the primary health care approach into a Community Nursing Science Curriculum in a Nursing College in Gauteng. A qualitative, exploratory, descriptive and contextual research design was utilized. The focus group interviews were conducted with community nurses and nurse educators as respondents. Data were analysed by a qualitative descriptive method of analysis as described in Creswell (1994: 155). Respondents in both groups held similar perceptions regarding integration of primary health care approach into a Community Nursing Science Curriculum. Five categories, which are in line with the curriculum cycle, were identified as follows: situation analysis, selection and organisation of objectives/goals, content, teaching methods and evaluation. Guidelines and recommendations for the integration of the primary health care approach into a Community Nursing Science Curriculum were described.

  17. Integration of the primary health care approach into a community nursing science curriculum

    Directory of Open Access Journals (Sweden)

    SS Vilakazi

    2000-09-01

    Full Text Available The purpose of this article is to explore and describe guidelines for integration of the primary health care approach into a Community Nursing Science Curriculum in a Nursing College in Gauteng. A qualitative, exploratory, descriptive and contextual research design was utilized. The focus group interviews were conducted with community nurses and nurse educators as respondents. Data were analysed by a qualitative descriptive method of analysis as described in Creswell (1994:155. Respondents in both groups held similar perceptions regarding integration of primary health care approach into a Community Nursing Science Curriculum. Five categories, which are in line with the curriculum cycle, were identified as follows: situation analysis, selection and organisation of objectives/ goals, content, teaching methods and evaluation. Guidelines and recommendations for the integration of the primary health care approach into a Community Nursing Science Curriculum were described.

  18. Review of The Behavioral Health Specialist in Primary Care: Skills for Integrated Practice.

    Science.gov (United States)

    Harsh, Jennifer

    2016-03-01

    Reviews the book, The Behavioral Health Specialist in Primary Care: Skills for Integrated Practice edited by Mary Ann Burg and Oliver Oyama (see record 2015-46891-000). The editors and the chapter authors of this useful book provide insight into the skills and knowledge needed to do integrated behavioral health in primary care. The most beneficial part of the book is the layout of the chapters, and the authors do a great job of articulating the clinical components of care. Behavioral health and medical providers in practice or in training could greatly benefit from reading this book. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  19. Colluvial and alluvial response to land use change in Midland England: An integrated geoarchaeological approach

    Science.gov (United States)

    Brown, Antony G.

    2009-07-01

    This paper presents geomorphic, soils and palaeoecological data from a small sub-catchment in the English Midlands in an attempt to provide an integrated picture of Holocene landscape change. The area used has also been the focus of a multi-disciplinary and long-term archaeological survey (Raunds Area Project) and so has a wealth of archaeological and historical data which can be related to the environmental record. The paper combines these data, much of which are only published in the archaeological literature with new interpretations based upon unpublished data and new data particularly from the hillslopes and new radiocarbon dating from the valley floor. It is inferred that despite a long history of pastoral and arable agriculture (since the Neolithic/Bronze Age), colluviation on lower slopes, significant soil redistribution and overbank alluviation only began to a measurable extent in the Late Saxon-Medieval period (9th Century AD onwards). It is suggested that this is due to a combination of land-use factors, principally the laying out of an intensive open field system and the establishment of villages combined with a period of extremes in climate well known throughout Europe. Indeed the critical element appears to have been the social changes in this period that created this regionally distinctive landscape which happened to have a high spatial connectivity and facilitated intensive arable production with high tillage rates. Intense rainfall events during this period could therefore detach and mobilize high volumes of soil and the open field system facilitated transport to slope bases and valley floors. The need for detailed and spatially precise land-use data in order to interpret accelerated landscape change is stressed.

  20. Implementing Digital Storytelling as a Technology Integration Approach with Primary School Children

    Directory of Open Access Journals (Sweden)

    Nuala Sweeney-Burt

    2014-06-01

    Full Text Available Irish educational policy acknowledges the importance of integrating technology meaningfully into teaching and learning at the primary level. Much remains to be done, however, in terms of developing, practically implementing and evaluating the use of technology in the Irish primary classroom. This paper describes a study on the use of a structured approach to digital storytelling as a tool for meaningful technology integration with children at primary level. In this study, the researcher developed a structured approach for implementing digital storytelling with primary school children, and collaborated with a class teacher in an Irish primary school to prepare to implement the approach. Multiple qualitative methods were used to evaluate the implementation, including interviews with the teacher, classroom observation, and focus group interviews with participating children. The results suggested that this structured approach to digital storytelling has the potential to be used successfully as a meaningful technology integration approach with this cohort. The findings also explored implications for the implementation of digital storytelling at primary level, and identified aspects on which further research should be undertaken to enhance and extend the approach that was used.

  1. Impact of Instructional Resources on Mathematics Performance of Learners with Dyscalculia in Integrated Primary Schools, Arusha City, Tanzania

    Science.gov (United States)

    Yusta, Nyudule; Karugu, Geoffrey; Muthee, Jessica; Tekle, Tesfu

    2016-01-01

    Learners with dyscalculia in the integrated primary schools in Arusha have been performing poorly in the Primary School Leaving Examination (PSLE). Thus, the journal sought to investigate the impact of instructional resources on mathematics performance of learners with dyscalculia in integrated primary schools found in Arusha city, Tanzania. The…

  2. Integrating climate change in transportation and land use scenario planning : an example from central New Mexico

    Science.gov (United States)

    2015-04-01

    The Central New Mexico Climate Change Scenario Planning Project, an Interagency Transportation, Land Use, and Climate Change Initiative, utilized a scenario planning process to develop a multiagency transportation- and land use-focused development st...

  3. Integrated impact assessment of climate change, land use, and adaptation policies on water quality in Austria

    Science.gov (United States)

    Trautvetter, Helen; Schoenhart, Martin; Parajaka, Juraj; Schmid, Erwin; Zessner, Matthias

    2017-04-01

    Climate change is one of the major challenges of our time and adds considerable stress to the human society and environment. A change in climate will not only shift general weather patterns, but might also increase the recurrence of extreme weather events such as drought and heavy rainfall. These changes in climatic conditions will affect the quality and quantity of water resources both directly as well as indirectly through autonomous adaptation by farmers (e.g. cultivar choices, fertilization intensity or soil management). This will influence the compliance with the good ecological and chemical status according to the EU Water Framework Directive. We present results from an integrated impact modelling framework (IIMF) to tackle those direct and indirect impacts and analyze policy options for planned adaptation in agricultural land use and sustainable management of land and water resources until 2040. The IIMF is the result of an interdisciplinary collaboration among economists, agronomists, and hydrologists. It consists of the bio-physical process model EPIC, the regional land use optimization model PASMA[grid], the quantitative precipitation/runoff TUWmodel and the surface water emission model MONERIS. Scenarios have been developed and parameterized in collaboration with stakeholders in order to facilitate multi-actor knowledge transfer. The set of climate change scenarios until 2040 includes three scenarios with equal temperature changes but varying precipitation patterns. They are combined with potential socio-economic and policy development. The latter include water protection measures on fertilization management, soil management, or crop rotation choices. We will presented the development of interfaces among the research, the definition of scenarios and major scenario results for Austria. We will focus on nutrient emissions to surface waters, which are the major link between the different models. The results, available at watershed level indicate the

  4. Integrated assessment of agricultural land use policies on nutrient pollution and sustainable development in Taihu Basin, China

    NARCIS (Netherlands)

    Reidsma, P.; Feng, S.; Loon, van M.; Luo, X.; Kang, C.; Lubbers, M.T.M.H.; Kanellopoulos, A.; Wolf, J.; Ittersum, van M.K.; Qu, F.

    2012-01-01

    Water pollution in Chinese lakes is a major problem. To reduce nutrient pollution and enhance sustainable development in Taihu Basin, China, an integrated assessment of the impacts of agricultural land use policies has been performed, using the technical coefficient generator TechnoGIN and the

  5. Methods and tools for integrated assessment of land use policies on sustainable development in developing countries

    NARCIS (Netherlands)

    Reidsma, P.; König, H.; Feng, S.; Bezlepkina, I.; Nesheim, I.; Bonin, M.; Sghaier, M.; Purushothaman, S.; Sieber, S.; Ittersum, van M.K.; Brouwer, F.M.

    2011-01-01

    For stimulating sustainable development in developing countries, land use patterns and land use changes are considered critical, and therefore effective and efficient land use policies are needed. In this paper we present a methodological framework that has been developed in a joint European and

  6. The effectiveness and cost-effectiveness of an integrated cardiometabolic risk assessment and treatment program in primary care (the INTEGRATE study).

    NARCIS (Netherlands)

    Stol, D.; Badenbroek, I.; Hollander, M.; Nielen, M.; Schellevis, F.; Wit, N. de

    2014-01-01

    The effectiveness and cost-effectiveness of an integrated cardiometabolic risk assessment and treatment program in primary care (the INTEGRATE study): a stepped-wedge randomized controlled trial protocol. Rationale: The increasing prevalence of cardiometabolic disease (CMD), including cardiovascular

  7. The integrated project: a promising promotional strategy for primary health care.

    Science.gov (United States)

    Daniel, C; Mora, B

    1985-10-01

    The integrated project using parasite control and nutrition as entry points for family planning practice has shown considerable success in promoting health consciousness among health workers and project beneficiaries. This progress is evident in the Family Planning, Parasite Control and Nutrition (FAPPCAN) areas. The project has also mobilized technical and financial support from the local government as well as from private and civic organizations. The need for integration is underscored by the following considerations: parasite control has proved to be effective for preventive health care; the integrated project uses indigenous community health workers to accomplish its objectives; the primary health care (PHC) movement depends primarily on voluntary community participation and the integrated project has shown that it can elicit this participation. The major health problems in the Philippines are: a prevalence of communicable and other infectious diseases; poor evironmental sanitation; malnutrition; and a rapid population growth rate. The integrated program utilizes the existing village health workers in identifying problems related to family planning, parasite control and nutrition and integrates these activities into the health delivery system; educates family members on how to detect health and health-related problems; works out linkages with government agencies and the local primary health care committee in defining the scope of health-related problems; mobilizes community members to initiate their own projects; gets the commitment of village officials and committe members. The integrated project operates within the PHC. A health van with a built-in video playback system provides educational and logistical support to the village worker. The primary detection and treatment of health problems are part of the village health workers' responsibilities. Research determines the project's capability to reactivate the village primary health care committees and sustain

  8. An Innovative Model of Integrated Behavioral Health: School Psychologists in Pediatric Primary Care Settings

    Science.gov (United States)

    Adams, Carolyn D.; Hinojosa, Sara; Armstrong, Kathleen; Takagishi, Jennifer; Dabrow, Sharon

    2016-01-01

    This article discusses an innovative example of integrated care in which doctoral level school psychology interns and residents worked alongside pediatric residents and pediatricians in the primary care settings to jointly provide services to patients. School psychologists specializing in pediatric health are uniquely trained to recognize and…

  9. Integration of ICTs into the Basic Curriculum in Primary Schools in ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Integration of ICTs into the Basic Curriculum in Primary Schools in Sénégal - Phase ... Special journal issue highlights IDRC-supported findings on women's paid work ... A new website and resource library will help improve developing country ...

  10. Integrated real time control of influent pumping station and primary settling tanks at WWTP Eindhoven

    NARCIS (Netherlands)

    van Daal-Rombouts, P.M.M.; de Jonge, J; Langeveld, J.G.; Clemens, F.H.L.R.

    2016-01-01

    This research deals with the design and implementation of an integrated control for the WWTP of Eindhoven. The control influences the operation of the primary settling tanks and influent pumping station to reduce reduce ammonia peaks in the WWTP effluent. The control takes into account the treatment

  11. Integrating ICTs into the Environmental Science Primary School Classroom in Chegutu District, Zimbabwe: Problems and Solutions

    Science.gov (United States)

    Shadreck, Mandina

    2015-01-01

    This study investigated primary school teachers' perceptions of the barriers and challenges preventing them from integrating ICTs in the environmental science classroom. The study adopted a qualitative research approach that is in line with the phenomenological perspective as it sought to acquire knowledge through understanding the direct…

  12. Primary Science Teaching--Is It Integral and Deep Experience for Students?

    Science.gov (United States)

    Timoštšuk, Inge

    2016-01-01

    Integral and deep pedagogical content knowledge can support future primary teachers' ability to follow ideas of education for sustainability in science class. Initial teacher education provides opportunity to learn what and how to teach but still the practical experiences of teaching can reveal uneven development of student teachers'…

  13. Integrating environment into land-use planning through strategic environmental assessment in China: Towards legal frameworks and operational procedures

    International Nuclear Information System (INIS)

    Tao Tang; Tan Zhu; He Xu

    2007-01-01

    China currently put forwards 'striving to build an environmentally friendly society' as one of the most important development goals. The land administration authorities are facing the challenge of effectively incorporating environment considerations into their planning system. This paper aims to investigate why and how Strategic Environmental Assessment (SEA) is enacted as an effective tool to integrate the environment into land-use planning during the construction process of an environmentally friendly society in China, and identify factors that influence the integration. It presents characteristics of the land-use planning system, and reviews the progress and current state of SEA in China. Results show that SEA provides many benefits in promoting environmental considerations into the land-use planning process. The legal frameworks and operational procedures, in the context of land-use master planning SEA, are summarized and an assessment made of their effectiveness. Some barriers are highlighted through examination of the latest case studies, and several recommendations are presented to overcome these obstacles

  14. Managing the environmental impacts of land transport: integrating environmental analysis with urban planning

    International Nuclear Information System (INIS)

    Irving, Paul; Moncrieff, Ian

    2004-01-01

    Ecological systems have limits or thresholds that vary by pollutant type, emissions sources and the sensitivity of a given location. Human health can also indicate sensitivity. Good environmental management requires any problem to be defined to obtain efficient and effective solutions. Cities are where transport activities, effects and resource management decisions are often most focussed. The New Zealand Ministry of Transport has developed two environmental management tools. The Vehicle Fleet Model (VFM) is a predictive database of the environmental performance of the New Zealand traffic fleet (and rail fleet). It calculates indices of local air quality, stormwater, and greenhouse gases emissions. The second is an analytical process based on Environmental Capacity Analysis (ECA). Information on local traffic is combined with environmental performance data from the Vehicle Fleet Model. This can be integrated within a live, geo-spatially defined analysis of the overall environmental effects within a defined local area. Variations in urban form and activity (traffic and other) that contribute to environmental effects can be tracked. This enables analysis of a range of mitigation strategies that may contribute, now or in the future, to maintaining environmental thresholds or meeting targets. A case study of the application of this approach was conducted within Waitakere City. The focus was on improving the understanding of the relative significance of stormwater contaminants derived from land transport

  15. Dirt: Integrating Scientific and Local Knowledge to Support Global Land Management

    Science.gov (United States)

    Okin, G.; Herrick, J.; Bestelmeyer, B.; Hanan, N. P.; Neff, J. C.; Peters, D. P. C.; Sala, O.; Salley, S. W.; Vivoni, E. R.; Wills, S. A.

    2017-12-01

    "Dirt." "It's that elm shade, red rust clay you grew up on - That plowed up ground that your dad damned his luck on." We will draw on the first lines of the chorus from a song by Florida Georgia Line to explain how our collective research can provide insights to help prevent the next Dust Bowl, increase returns on investments in land restoration, and limit nutrient runoff to the Gulf of Mexico. Our presentation will show how we are supporting management decisions in New Mexico, Namibia and Mongolia by integrating NRCS soil survey information with an understanding of soil variability, and landscape patterns and dynamics developed at the Jornada LTER and USDA-ARS research unit, working with and drawing on related research from around the world. We will highlight work identifying wind erosion thresholds based on easily measured changes in vegetation structure. We will also demonstrate how landscape stratification by soils can be used to increase the probability of success of restoration treatments. We will end with a demonstration of a suite of mobile phone apps that are being developed to increase access to scientific knowledge by farmers, policymakers and natural resource managers around the world, and to allow them to contextualize and share their own soil-specific local knowledge. A co-benefit is the use as a crowd-sourcing tool.

  16. Integrating Future Land Use Scenarios to Evaluate the Spatio-Temporal Dynamics of Landscape Ecological Security

    Directory of Open Access Journals (Sweden)

    Yi Lu

    2016-11-01

    Full Text Available Urban ecological security is the basic principle of national ecological security. However, analyses of the spatial and temporal dynamics of ecological security remain limited, especially those that consider different scenarios of urban development. In this study, an integrated method is proposed that combines the Conversion of Land Use and its Effects (CLUE-S model with the Pressure–State–Response (P-S-R framework to assess landscape ecological security (LES in Huangshan City, China under two scenarios. Our results suggest the following conclusions: (1 the spatial and temporal dynamics of ecological security are closely related to the urbanization process; (2 although the average values of landscape ecological security are similar under different scenarios, the areas of relatively high security levels vary considerably; and (3 spatial heterogeneity in ecological security exists between different districts and counties, and the city center and its vicinity may face relatively serious declines in ecological security in the future. Overall, the proposed method not only illustrates the spatio-temporal dynamics of landscape ecological security under different scenarios but also reveals the anthropogenic effects on ecosystems by differentiating between causes, effects, and human responses at the landscape scale. This information is of great significance to decision-makers for future urban planning and management.

  17. The impact of BWR MK I primary containment failure dynamics on secondary containment integrity

    International Nuclear Information System (INIS)

    Greene, S.R.

    1987-01-01

    During the past four years, the ORNL BWRSAT Program has developed a series of increasingly sophisticated BWR secondary containment models. These models have been applied in a variety of studies to evaluate the severe accident mitigation capability of BWR secondary containments. This paper describes the results of a recent ORNL study of the impact of BWR MK I primary containment failure dynamics on secondary containment integrity. A 26-cell MELCOR Browns Ferry secondary containment model is described and the predicted thermodynamic response of the secondary containment to a variety of postulated primary containment failure modes is presented. The effects of primary containment failure location, timing, and ultimate hole size on secondary containment response is investigated, and the potential impact of hydrogen deflagrations on secondary containment integrity is explored

  18. Exploring long-term trends in land use change and aboveground human appropriation of net primary production in nine European countries

    DEFF Research Database (Denmark)

    Gingrich, Simone; Niedertscheider, Maria; Kastner, Thomas

    2015-01-01

    Profound changes in land use occurred during the last century in Europe, driven by growing population, changes in affluence, and technological innovation. To capture and understand these changes, we compiled a consistent dataset on the distribution of land-use types and biomass extraction for nine...... primary production" (HANPP) framework for the nine countries and for the sum of all countries on a yearly basis from 1902 to 2003. We find that cropland and grazing land contracted in all countries except Albania in the observed period, while forestland increased. Crop yields increased in all countries......, most strongly during the second half of the 20th century. In some countries, biomass extraction on grazing lands increased to a similar extent. Overall, HANPP was high but declined slightly from 63% of the net primary production of potential vegetation in 1902 to 55% in 2003. This is the result...

  19. Barriers and facilitators in the integration of oral health into primary care: a scoping review.

    Science.gov (United States)

    Harnagea, Hermina; Couturier, Yves; Shrivastava, Richa; Girard, Felix; Lamothe, Lise; Bedos, Christophe Pierre; Emami, Elham

    2017-09-25

    This scoping study has been conducted to map the literature and provide a descriptive synthesis on the barriers and facilitators of the integration of oral health into primary care. Grounded in the Rainbow conceptual model and using the Levac et al six-stage framework, we performed a systematic search of electronic databases, organisational websites and grey literature from 1978 to April 2016. All publications with a focus on the integration of oral health into primary care were included except commentaries and editorials. Thematic analyses were performed to synthesise the results. From a total of 1619 citations, 58 publications were included in the review. Barrier-related themes included: lack of political leadership and healthcare policies; implementation challenges; discipline-oriented education; lack of continuity of care and services and patients' oral healthcare needs. The facilitators of integration were supportive policies and resources allocation, interdisciplinary education, collaborative practices between dental and other healthcare professionals, presence of local strategic leaders and geographical proximity. This work has advanced the knowledge on the barriers and facilitators at each integration domain and level, which may be helpful if the healthcare organisations decide to integrate oral health and dental services into primary care. The scoping review findings could be useful for both dental and medical workforce and allied primary healthcare providers. They could also guide the development of healthcare policies that support collaborative practices and patient-centred care in the field of primary care. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  20. Assessing Patients' Preference for Integrating Herbal Medicine Within Primary Care Services in Saudi Arabia.

    Science.gov (United States)

    Allam, Safaa; Moharam, Maha; Alarfaj, Gada

    2014-07-01

    Family physician advice and follow-up may be important to reduce the negative aspects of locally marketed herbal remedies and improve the patient outcome. There is a lack of studies assessing the preference of Saudi patients for the integration of herbal medicine into primary care services. To examine the knowledge, attitudes, and practice of Saudi patients toward herbal medicine and its integration into primary care services. A cross-sectional study was conducted between February and March 2013 among adult patients attending the family medicine clinics at a primary care center in Riyadh, Saudi Arabia. A self-administered questionnaire (27 items) was developed and administered to all patients. A total of 240 patients were included in the current analysis. The average age was 33.5 ± 9.9 years, and 61% of the patients were women. Approximately 60% of the patients were aware of herbal medicine use and its possible side effects. More than 85% of the patients believed that herbal containers should be labeled with safety information. Approximately 71% of the patients had a favorable attitude toward integrated services. Approximately 65% of the patients used herbal remedies for themselves, and 42% used them for their children. Preference for integrated services was significantly associated with female sex, better knowledge, positive attitudes toward safety and regulations, and higher level of practice. A good knowledge and a very favorable attitude toward integrating herbal medicine into primary care services were found among a group of patients attending a primary care center in Saudi Arabia. © The Author(s) 2014.

  1. Primary production and algae diversity vs. pollution in xochimilco wet-lands

    Energy Technology Data Exchange (ETDEWEB)

    Pedroza-Pichardo, R.; Hernandez-Delgadillo, R.; Boll-Arguello, G.

    2009-07-01

    Xochimilco is an ancient endorheic lake located in the Valley of Mexico. Due to its shallow water and the freshwater springs that lined the canals, they are surround raised agricultural fields called chinampas. Since the Valley of Mexico was originally wetlands, the chinampas were the most productive means of agricultural production. Xochimilco are considered one of the most important urban lungs in Mexico City. However, it is not clear how the huge urbanization around is to know if there is a correlation between primary production (PP), algae diversity, BOD{sub 5} and faecal coliforms. Sample collection was done every month over a year at six different canals named: Embarcadero Celada, Embarcadero Nuevo Nativitas, Canal Las Abejas, Canal Zacapa, Canal Santo Domingo y Canal Nacional. (Author)

  2. Primary production and algae diversity vs. pollution in xochimilco wet-lands

    International Nuclear Information System (INIS)

    Pedroza-Pichardo, R.; Hernandez-Delgadillo, R.; Boll-Arguello, G.

    2009-01-01

    Xochimilco is an ancient endorheic lake located in the Valley of Mexico. Due to its shallow water and the freshwater springs that lined the canals, they are surround raised agricultural fields called chinampas. Since the Valley of Mexico was originally wetlands, the chinampas were the most productive means of agricultural production. Xochimilco are considered one of the most important urban lungs in Mexico City. However, it is not clear how the huge urbanization around is to know if there is a correlation between primary production (PP), algae diversity, BOD 5 and faecal coliforms. Sample collection was done every month over a year at six different canals named: Embarcadero Celada, Embarcadero Nuevo Nativitas, Canal Las Abejas, Canal Zacapa, Canal Santo Domingo y Canal Nacional. (Author)

  3. Ecosystem carbon partitioning: aboveground net primary productivity correlates with the root carbon input in different land use types of Southern Alps

    Science.gov (United States)

    Rodeghiero, Mirco; Martinez, Cristina; Gianelle, Damiano; Camin, Federica; Zanotelli, Damiano; Magnani, Federico

    2013-04-01

    Terrestrial plant carbon partitioning to above- and below-ground compartments can be better understood by integrating studies on biomass allocation and estimates of root carbon input based on the use of stable isotopes. These experiments are essential to model ecosystem's metabolism and predict the effects of global change on carbon cycling. Using in-growth soil cores in conjunction with the 13C natural abundance method we quantified net plant-derived root carbon input into the soil, which has been pointed out as the main unaccounted NPP (net primary productivity) component. Four land use types located in the Trentino Region (northern Italy) and representing a range of aboveground net primary productivity (ANPP) values (155-868 gC m-2 y-1) were investigated: conifer forest, apple orchard, vineyard and grassland. Cores, filled with soil of a known C4 isotopic signature were inserted at 18 sampling points for each site and left in place for twelve months. After extraction, cores were analysed for %C and d13C, which were used to calculate the proportion of new plant-derived root C input by applying a mass balance equation. The GPP (gross primary productivity) of each ecosystem was determined by the eddy covariance technique whereas ANPP was quantified with a repeated inventory approach. We found a strong and significant relationship (R2 = 0.93; p=0.03) between ANPP and the fraction of GPP transferred to the soil as root C input across the investigated sites. This percentage varied between 10 and 25% of GPP with the grassland having the lowest value and the apple orchard the highest. Mechanistic ecosystem carbon balance models could benefit from this general relationship since ANPP is routinely and easily measured at many sites. This result also suggests that by quantifying site-specific ANPP, root carbon input can be reliably estimated, as opposed to using arbitrary root/shoot ratios which may under- or over-estimate C partitioning.

  4. Designing Clinical Space for the Delivery of Integrated Behavioral Health and Primary Care.

    Science.gov (United States)

    Gunn, Rose; Davis, Melinda M; Hall, Jennifer; Heintzman, John; Muench, John; Smeds, Brianna; Miller, Benjamin F; Miller, William L; Gilchrist, Emma; Brown Levey, Shandra; Brown, Jacqueline; Wise Romero, Pam; Cohen, Deborah J

    2015-01-01

    This study sought to describe features of the physical space in which practices integrating primary care and behavioral health care work and to identify the arrangements that enable integration of care. We conducted an observational study of 19 diverse practices located across the United States. Practice-level data included field notes from 2-4-day site visits, transcripts from semistructured interviews with clinicians and clinical staff, online implementation diary posts, and facility photographs. A multidisciplinary team used a 4-stage, systematic approach to analyze data and identify how physical layout enabled the work of integrated care teams. Two dominant spatial layouts emerged across practices: type-1 layouts were characterized by having primary care clinicians (PCCs) and behavioral health clinicians (BHCs) located in separate work areas, and type-2 layouts had BHCs and PCCs sharing work space. We describe these layouts and the influence they have on situational awareness, interprofessional "bumpability," and opportunities for on-the-fly communication. We observed BHCs and PCCs engaging in more face-to-face methods for coordinating integrated care for patients in type 2 layouts (41.5% of observed encounters vs 11.7%; P < .05). We show that practices needed to strike a balance between professional proximity and private work areas to accomplish job tasks. Private workspace was needed for focused work, to see patients, and for consults between clinicians and clinical staff. We describe the ways practices modified and built new space and provide 2 recommended layouts for practices integrating care based on study findings. Physical layout and positioning of professionals' workspace is an important consideration in practices implementing integrated care. Clinicians, researchers, and health-care administrators are encouraged to consider the role of professional proximity and private working space when creating new facilities or redesigning existing space to foster

  5. An Integrated Software Framework to Support Semantic Modeling and Reasoning of Spatiotemporal Change of Geographical Objects: A Use Case of Land Use and Land Cover Change Study

    Directory of Open Access Journals (Sweden)

    Wenwen Li

    2016-09-01

    Full Text Available Evolving Earth observation and change detection techniques enable the automatic identification of Land Use and Land Cover Change (LULCC over a large extent from massive amounts of remote sensing data. It at the same time poses a major challenge in effective organization, representation and modeling of such information. This study proposes and implements an integrated computational framework to support the modeling, semantic and spatial reasoning of change information with regard to space, time and topology. We first proposed a conceptual model to formally represent the spatiotemporal variation of change data, which is essential knowledge to support various environmental and social studies, such as deforestation and urbanization studies. Then, a spatial ontology was created to encode these semantic spatiotemporal data in a machine-understandable format. Based on the knowledge defined in the ontology and related reasoning rules, a semantic platform was developed to support the semantic query and change trajectory reasoning of areas with LULCC. This semantic platform is innovative, as it integrates semantic and spatial reasoning into a coherent computational and operational software framework to support automated semantic analysis of time series data that can go beyond LULC datasets. In addition, this system scales well as the amount of data increases, validated by a number of experimental results. This work contributes significantly to both the geospatial Semantic Web and GIScience communities in terms of the establishment of the (web-based semantic platform for collaborative question answering and decision-making.

  6. Quantifying the effects of climate change and land use change on water resources in Denmark using an integrated watershed model

    DEFF Research Database (Denmark)

    Van Roosmalen, Lieke Petronella G; Sonnenborg, Torben; Jensen, Karsten Høgh

    2009-01-01

    This paper presents a quantitative comparison of plausible climate and land use change impacts on the hydrology of a large-scale agricultural catchment. An integrated, distributed hydrological model was used to simulate changes in the groundwater system and its discharge to rivers and drains...... to current values. Changing the land use from grass to forest had a minor effect on groundwater recharge, whereas CO2 effects on transpiration resulted in a relatively large increase in recharge. This study has shown that climate change has the most substantial effect on the hydrology in this catchment......, whereas other factors such as irrigation, CO2 effects on transpiration, and land use changes affect the water balance to a lesser extent....

  7. Tracing trade-related telecouplings in the global land-system using the embodied human appropriation of net primary production framework

    Science.gov (United States)

    Haberl, H.; Kastner, T.; Schaffartzik, A.; Erb, K. H.

    2015-12-01

    Global land-system change is influenced by a complex set of drivers that transcend spatial, institutional and temporal scales. The notion of "telecouplings" is gaining importance in Land System Science as a framework to address that complexity of drivers. One of them is the trade in land-based products, which forges connections between different geographic regions. Trade in land-based products is growing rapidly, thereby creating an increasing spatial disconnect between the locations where primary products (e.g. crops, fodder or timber) are grown and harvested and where the related environmental pressures occur, and the locations where final products (e.g. food, fiber or bioenergy) are consumed. Governing land-related sustainability issues such as GHG emissions or pressures on biodiversity and ecosystems related with land-use changes requires information on trade-related telecouplings, e.g. in order to avoid leakage effects. However, tracing land use (change) related with flows of traded products is challenging, among others due to (a) the lack of easily implementable metrics to account for differences in land quality and land-use intensity, and (b) the lack of satisfactory methods to allocate land to products that are traded and consumed. Drawing from a database derived from FAO statistics that allows tracing bilateral trade flows between ~200 countries at a resolution of ~500 products for the time period 1986-2006, this presentation will discuss how the framework of embodied human appropriation of net primary production (eHANPP) can help tackling these difficult issues. The HANPP framework allows to consistently represent important aspects of land quality and land-use intensity, e.g. natural productivity potential or land-use efficiency. In terms of allocation of land to products, eHANPP is a factor-based approach, and the presentation will discuss differences to alternative methods such as environmentally extended input-output analysis. We will use the available

  8. Integrating travel behavior with land use regression to estimate dynamic air pollution exposure in Hong Kong.

    Science.gov (United States)

    Tang, Robert; Tian, Linwei; Thach, Thuan-Quoc; Tsui, Tsz Him; Brauer, Michael; Lee, Martha; Allen, Ryan; Yuchi, Weiran; Lai, Poh-Chin; Wong, Paulina; Barratt, Benjamin

    2018-04-01

    Epidemiological studies typically use subjects' residential address to estimate individuals' air pollution exposure. However, in reality this exposure is rarely static as people move from home to work/study locations and commute during the day. Integrating mobility and time-activity data may reduce errors and biases, thereby improving estimates of health risks. To incorporate land use regression with movement and building infiltration data to estimate time-weighted air pollution exposures stratified by age, sex, and employment status for population subgroups in Hong Kong. A large population-representative survey (N = 89,385) was used to characterize travel behavior, and derive time-activity pattern for each subject. Infiltration factors calculated from indoor/outdoor monitoring campaigns were used to estimate micro-environmental concentrations. We evaluated dynamic and static (residential location-only) exposures in a staged modeling approach to quantify effects of each component. Higher levels of exposures were found for working adults and students due to increased mobility. Compared to subjects aged 65 or older, exposures to PM 2.5 , BC, and NO 2 were 13%, 39% and 14% higher, respectively for subjects aged below 18, and 3%, 18% and 11% higher, respectively for working adults. Exposures of females were approximately 4% lower than those of males. Dynamic exposures were around 20% lower than ambient exposures at residential addresses. The incorporation of infiltration and mobility increased heterogeneity in population exposure and allowed identification of highly exposed groups. The use of ambient concentrations may lead to exposure misclassification which introduces bias, resulting in lower effect estimates than 'true' exposures. Copyright © 2018 Elsevier Ltd. All rights reserved.

  9. Identification and Management of Eating Disorders in Integrated Primary Care: Recommendations for Psychologists in Integrated Care Settings.

    Science.gov (United States)

    Buchholz, Laura J; King, Paul R; Wray, Laura O

    2017-06-01

    Eating disorders are associated with deleterious health consequences, increased risk of mortality, and psychosocial impairment. Although individuals with eating disorders are likely to seek treatment in general medical settings such as primary care (PC), these conditions are often under-detected by PC providers. However, psychologists in integrated PC settings are likely to see patients with eating disorders because of the mental health comorbidities associated with these conditions. Further, due to their training in identifying risk factors associated with eating disorders (i.e., comorbid mental health and medical disorders) and opportunities for collaboration with PC providers, psychologists are well-positioned to improve the detection and management of eating disorders in PC. This paper provides a brief overview of eating disorders and practical guidance for psychologists working in integrated PC settings to facilitate the identification and management of these conditions.

  10. Spatially explicit integrated modeling and economic valuation of climate driven land use change and its indirect effects.

    Science.gov (United States)

    Bateman, Ian; Agarwala, Matthew; Binner, Amy; Coombes, Emma; Day, Brett; Ferrini, Silvia; Fezzi, Carlo; Hutchins, Michael; Lovett, Andrew; Posen, Paulette

    2016-10-01

    We present an integrated model of the direct consequences of climate change on land use, and the indirect effects of induced land use change upon the natural environment. The model predicts climate-driven shifts in the profitability of alternative uses of agricultural land. Both the direct impact of climate change and the induced shift in land use patterns will cause secondary effects on the water environment, for which agriculture is the major source of diffuse pollution. We model the impact of changes in such pollution on riverine ecosystems showing that these will be spatially heterogeneous. Moreover, we consider further knock-on effects upon the recreational benefits derived from water environments, which we assess using revealed preference methods. This analysis permits a multi-layered examination of the economic consequences of climate change, assessing the sequence of impacts from climate change through farm gross margins, land use, water quality and recreation, both at the individual and catchment scale. Copyright © 2016 Elsevier Ltd. All rights reserved.

  11. Sensing Urban Land-Use Patterns by Integrating Google Tensorflow and Scene-Classification Models

    Science.gov (United States)

    Yao, Y.; Liang, H.; Li, X.; Zhang, J.; He, J.

    2017-09-01

    With the rapid progress of China's urbanization, research on the automatic detection of land-use patterns in Chinese cities is of substantial importance. Deep learning is an effective method to extract image features. To take advantage of the deep-learning method in detecting urban land-use patterns, we applied a transfer-learning-based remote-sensing image approach to extract and classify features. Using the Google Tensorflow framework, a powerful convolution neural network (CNN) library was created. First, the transferred model was previously trained on ImageNet, one of the largest object-image data sets, to fully develop the model's ability to generate feature vectors of standard remote-sensing land-cover data sets (UC Merced and WHU-SIRI). Then, a random-forest-based classifier was constructed and trained on these generated vectors to classify the actual urban land-use pattern on the scale of traffic analysis zones (TAZs). To avoid the multi-scale effect of remote-sensing imagery, a large random patch (LRP) method was used. The proposed method could efficiently obtain acceptable accuracy (OA = 0.794, Kappa = 0.737) for the study area. In addition, the results show that the proposed method can effectively overcome the multi-scale effect that occurs in urban land-use classification at the irregular land-parcel level. The proposed method can help planners monitor dynamic urban land use and evaluate the impact of urban-planning schemes.

  12. Integration of Land and Sea in a Port Area: A Case Study of the Port of Koper

    Science.gov (United States)

    Ažman Momirski, Lucija

    2017-10-01

    The spatial plan for a port based on land reclamation, existing land, or a combination of both should be designed in line with both reliable data for the existing situation and precise goals based on a well-founded vision by the port authority. In ports, human activities are concentrated in the limited space of the coastal belt, where they threaten the vulnerable equilibrium of the environment. Integrated multifunctional planning of ports is necessary for the sustainability of such plans. In this process, the relation between the environment and the economy is often neglected because the ecosystem—the totality of living organisms—which is fully dependent on biological, chemical, and physical factors, prevails. This method, also called building with nature, is the basis for integrated coastal zone development and management. It emphasizes the flexible integration of land and sea, which respects and uses forces and materials present in nature, and which is an essential interaction between man and environment. Strict ecological planning conditions and the public interest obliged the Port of Koper to modify its urban planning strategies and redefine its relationship with all bordering areas. The extension of two piers and construction of a third one was the result of functional factors, infrastructure connections, technical possibilities, and environmental requirements. Solutions that were relevant for distributing cargo on the docks had to adjust to the width of the basins for manoeuvring ships. Various types of construction restrict water flow under piers, thereby accelerating biomass degradation. Environmental aspects created conditions and requirements for pier construction.

  13. The informatics capability maturity of integrated primary care centres in Australia.

    Science.gov (United States)

    Liaw, Siaw-Teng; Kearns, Rachael; Taggart, Jane; Frank, Oliver; Lane, Riki; Tam, Michael; Dennis, Sarah; Walker, Christine; Russell, Grant; Harris, Mark

    2017-09-01

    Integrated primary care requires systems and service integration along with financial incentives to promote downward substitution to a single entry point to care. Integrated Primary Care Centres (IPCCs) aim to improve integration by co-location of health services. The Informatics Capability Maturity (ICM) describes how well health organisations collect, manage and share information; manage eHealth technology, implementation, change, data quality and governance; and use "intelligence" to improve care. Describe associations of ICM with systems and service integration in IPCCs. Mixed methods evaluation of IPCCs in metropolitan and rural Australia: an enhanced general practice, four GP Super Clinics, a "HealthOne" (private-public partnership) and a Community Health Centre. Data collection methods included self-assessed ICM, document review, interviews, observations in practice and assessment of electronic health record data. Data was analysed and compared across IPCCs. The IPCCs demonstrated a range of funding models, ownership, leadership, organisation and ICM. Digital tools were used with varying effectiveness to collect, use and share data. Connectivity was problematic, requiring "work-arounds" to communicate and share information. The lack of technical, data and software interoperability standards, clinical coding and secure messaging were barriers to data collection, integration and sharing. Strong leadership and governance was important for successful implementation of robust and secure eHealth systems. Patient engagement with eHealth tools was suboptimal. ICM is positively associated with integration of data, systems and care. Improved ICM requires a health workforce with eHealth competencies; technical, semantic and software standards; adequate privacy and security; and good governance and leadership. Copyright © 2017 Elsevier B.V. All rights reserved.

  14. Integrating mental health into primary care for displaced populations: the experience of Mindanao, Philippines

    Directory of Open Access Journals (Sweden)

    Gil Tatiana

    2011-03-01

    Full Text Available Abstract Background For more than forty years, episodes of violence in the Mindanao conflict have recurrently led to civilian displacement. In 2008, Medecins Sans Frontieres set up a mental health program integrated into primary health care in Mindanao Region. In this article, we describe a model of mental health care and the characteristics and outcomes of patients attending mental health services. Methods Psychologists working in mobile clinics assessed patients referred by trained clinicians located at primary level. They provided psychological first aid, brief psychotherapy and referral for severe patients. Patient characteristics and outcomes in terms of Self-Reporting Questionnaire (SRQ20 and Global Assessment of Functioning score (GAF are described. Results Among the 463 adult patients diagnosed with a common mental disorder with at least two visits, median SRQ20 score diminished from 7 to 3 (p Conclusions Brief psychotherapy sessions provided at primary level during emergencies can potentially improve patients' symptoms of distress.

  15. Provider perceptions of an integrated primary care quality improvement strategy: The PPAQ toolkit.

    Science.gov (United States)

    Beehler, Gregory P; Lilienthal, Kaitlin R

    2017-02-01

    The Primary Care Behavioral Health (PCBH) model of integrated primary care is challenging to implement with high fidelity. The Primary Care Behavioral Health Provider Adherence Questionnaire (PPAQ) was designed to assess provider adherence to essential model components and has recently been adapted into a quality improvement toolkit. The aim of this pilot project was to gather preliminary feedback on providers' perceptions of the acceptability and utility of the PPAQ toolkit for making beneficial practice changes. Twelve mental health providers working in Department of Veterans Affairs integrated primary care clinics participated in semistructured interviews to gather quantitative and qualitative data. Descriptive statistics and qualitative content analysis were used to analyze data. Providers identified several positive features of the PPAQ toolkit organization and structure that resulted in high ratings of acceptability, while also identifying several toolkit components in need of modification to improve usability. Toolkit content was considered highly representative of the (PCBH) model and therefore could be used as a diagnostic self-assessment of model adherence. The toolkit was considered to be high in applicability to providers regardless of their degree of prior professional preparation or current clinical setting. Additionally, providers identified several system-level contextual factors that could impact the usefulness of the toolkit. These findings suggest that frontline mental health providers working in (PCBH) settings may be receptive to using an adherence-focused toolkit for ongoing quality improvement. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  16. A Framework for Integrating Environmental and Occupational Health and Primary Care in a Postdisaster Context.

    Science.gov (United States)

    Kirkland, Katherine; Sherman, Mya; Covert, Hannah; Barlet, Grace; Lichtveld, Maureen

    Integration of environmental and occupational health (EOH) into primary care settings is a critical step to addressing the EOH concerns of a community, particularly in a postdisaster context. Several barriers to EOH integration exist at the physician, patient, and health care system levels. This article presents a framework for improving the health system's capacity to address EOH after the Deepwater Horizon oil spill and illustrates its application in the Environmental and Occupational Health Education and Referral (EOHER) program. This program worked with 11 Federally Qualified Health Center systems in the Gulf Coast region to try to address the EOH concerns of community members and to assist primary care providers to better understand the impact of EOH factors on their patients' health. The framework uses a 3-pronged approach to (1) foster coordination between primary care and EOH facilities through a referral network and peer consultations, (2) increase physician capacity in EOH issues through continuing education and training, and (3) conduct outreach to community members about EOH issues. The EOHER program highlighted the importance of building strong partnerships with community members and other relevant organizations, as well as high organizational capacity and effective leadership to enable EOH integration into primary care settings. Physicians in the EOHER program were constrained in their ability to engage with EOH issues due to competing patient needs and time constraints, indicating the need to improve physicians' ability to assess which patients are at high risk for EOH exposures and to efficiently take environmental and occupational histories. This article highlights the importance of addressing EOH barriers at multiple levels and provides a model that can be applied to promote community health, particularly in the context of future natural or technological disasters.

  17. Integrating interdisciplinary pain management into primary care: development and implementation of a novel clinical program.

    Science.gov (United States)

    Dorflinger, Lindsey M; Ruser, Christopher; Sellinger, John; Edens, Ellen L; Kerns, Robert D; Becker, William C

    2014-12-01

    The aims of this study were to develop and implement an interdisciplinary pain program integrated in primary care to address stakeholder-identified gaps. Program development and evaluation project utilizing a Plan-Do-Study-Act (PDSA) approach to address the identified problem of insufficient pain management resources within primary care. A large Healthcare System within the Veterans Health Administration, consisting of two academically affiliated medical centers and six community-based outpatients clinics. An interprofessional group of stakeholders participated in a Rapid Process Improvement Workshop (RPIW), a consensus-building process to identify systems-level gaps and feasible solutions and obtain buy-in. Changes were implemented in 2012, and in a 1-year follow-up, we examined indicators of engagement in specialty and multimodal pain care services as well as patient and provider satisfaction. In response to identified barriers, RPIW participants proposed and outlined two readily implementable, interdisciplinary clinics embedded within primary care: 1) the Integrated Pain Clinic, providing in-depth assessment and triage to targeted resources; and 2) the Opioid Reassessment Clinic, providing assessment and structured monitoring of patients with evidence of safety, efficacy, or misuse problems with opioids. Implementation of these programs led to higher rates of engagement in specialty and multimodal pain care services; patients and providers reported satisfaction with these services. Our PDSA cycle engaged an interprofessional group of stakeholders that recommended introduction of new systems-based interventions to better integrate pain resources into primary care to address reported barriers. Early data suggest improved outcomes; examination of additional outcomes is planned. Wiley Periodicals, Inc.

  18. SENSING URBAN LAND-USE PATTERNS BY INTEGRATING GOOGLE TENSORFLOW AND SCENE-CLASSIFICATION MODELS

    Directory of Open Access Journals (Sweden)

    Y. Yao

    2017-09-01

    Full Text Available With the rapid progress of China’s urbanization, research on the automatic detection of land-use patterns in Chinese cities is of substantial importance. Deep learning is an effective method to extract image features. To take advantage of the deep-learning method in detecting urban land-use patterns, we applied a transfer-learning-based remote-sensing image approach to extract and classify features. Using the Google Tensorflow framework, a powerful convolution neural network (CNN library was created. First, the transferred model was previously trained on ImageNet, one of the largest object-image data sets, to fully develop the model’s ability to generate feature vectors of standard remote-sensing land-cover data sets (UC Merced and WHU-SIRI. Then, a random-forest-based classifier was constructed and trained on these generated vectors to classify the actual urban land-use pattern on the scale of traffic analysis zones (TAZs. To avoid the multi-scale effect of remote-sensing imagery, a large random patch (LRP method was used. The proposed method could efficiently obtain acceptable accuracy (OA = 0.794, Kappa = 0.737 for the study area. In addition, the results show that the proposed method can effectively overcome the multi-scale effect that occurs in urban land-use classification at the irregular land-parcel level. The proposed method can help planners monitor dynamic urban land use and evaluate the impact of urban-planning schemes.

  19. Integrating Behavioral Health and Primary Care: Consulting, Coordinating and Collaborating Among Professionals.

    Science.gov (United States)

    Cohen, Deborah J; Davis, Melinda; Balasubramanian, Bijal A; Gunn, Rose; Hall, Jennifer; deGruy, Frank V; Peek, C J; Green, Larry A; Stange, Kurt C; Pallares, Carla; Levy, Sheldon; Pollack, David; Miller, Benjamin F

    2015-01-01

    This paper sought to describe how clinicians from different backgrounds interact to deliver integrated behavioral and primary health care, and the contextual factors that shape such interactions. This was a comparative case study in which a multidisciplinary team used an immersion-crystallization approach to analyze data from observations of practice operations, interviews with practice members, and implementation diaries. The observed practices were drawn from 2 studies: Advancing Care Together, a demonstration project of 11 practices located in Colorado; and the Integration Workforce Study, consisting of 8 practices located across the United States. Primary care and behavioral health clinicians used 3 interpersonal strategies to work together in integrated settings: consulting, coordinating, and collaborating (3Cs). Consulting occurred when clinicians sought advice, validated care plans, or corroborated perceptions of a patient's needs with another professional. Coordinating involved 2 professionals working in a parallel or in a back-and-forth fashion to achieve a common patient care goal, while delivering care separately. Collaborating involved 2 or more professionals interacting in real time to discuss a patient's presenting symptoms, describe their views on treatment, and jointly develop a care plan. Collaborative behavior emerged when a patient's care or situation was complex or novel. We identified contextual factors shaping use of the 3Cs, including: time to plan patient care, staffing, employing brief therapeutic approaches, proximity of clinical team members, and electronic health record documenting behavior. Primary care and behavioral health clinicians, through their interactions, consult, coordinate, and collaborate with each other to solve patients' problems. Organizations can create integrated care environments that support these collaborations and health professions training programs should equip clinicians to execute all 3Cs routinely in practice

  20. OPTIMIZATION OF LAND USE SUITABILITY FOR AGRICULTURE USING INTEGRATED GEOSPATIAL MODEL AND GENETIC ALGORITHMS

    Directory of Open Access Journals (Sweden)

    S. B. Mansor

    2012-08-01

    Full Text Available In this study, a geospatial model for land use allocation was developed from the view of simulating the biological autonomous adaptability to environment and the infrastructural preference. The model was developed based on multi-agent genetic algorithm. The model was customized to accommodate the constraint set for the study area, namely the resource saving and environmental-friendly. The model was then applied to solve the practical multi-objective spatial optimization allocation problems of land use in the core region of Menderjan Basin in Iran. The first task was to study the dominant crops and economic suitability evaluation of land. Second task was to determine the fitness function for the genetic algorithms. The third objective was to optimize the land use map using economical benefits. The results has indicated that the proposed model has much better performance for solving complex multi-objective spatial optimization allocation problems and it is a promising method for generating land use alternatives for further consideration in spatial decision-making.

  1. Updates to the Demographic and Spatial Allocation Models to Produce Integrated Climate and Land Use Scenarios (ICLUS) (Version 2) (External Review Draft)

    Science.gov (United States)

    EPA announced the availability of the draft report, Updates to the Demographic and Spatial Allocation Models to Produce Integrated Climate and Land Use Scenarios (ICLUS) for a 30-day public comment period. The ICLUS version 2 (v2) modeling tool furthered land change mod...

  2. The Benefits of Fine Art Integration into Mathematics in Primary School

    Directory of Open Access Journals (Sweden)

    Anja Brezovnik

    2015-09-01

    Full Text Available The main purpose of the article is to research the effects of the integration of fine art content into mathematics on students at the primary school level. The theoretical part consists of the definition of arts integration into education, a discussion of the developmental process of creative mathematical thinking, an explanation of the position of art and mathematics in education today, and a summary of the benefits of arts integration and its positive effects on students. The empirical part reports on the findings of a pedagogical experiment involving two different ways of teaching fifth-grade students: the control group was taught mathematics in a traditional way, while the experimental group was taught with the integration of fine art content into the mathematics lessons. At the end of the teaching periods, four mathematics tests were administered in order to determine the difference in knowledge between the control group and the experimental group. The results of our study confirmed the hypotheses, as we found positive effects of fine art integration into mathematics, with the experimental group achieving higher marks in the mathematics tests than the control group. Our results are consistent with the findings of previous research and studies, which have demonstrated and confirmed that long-term participation in fine art activities offers advantages related to mathematical reasoning, such as intrinsic motivation, visual imagination and reflection on how to generate creative ideas.

  3. Guidelines for integrating population education into primary education and literacy programmes.

    Science.gov (United States)

    1989-01-01

    In recent seminars and workshops in the Asia and Pacific region the integration of population education into primary schools and literacy programs were the main topics. In most of the countries in this area separate courses in population education appear to be unfeasible for primary and secondary schools. In the nonformal area experience has indicated that population education acquires more meaning and relevance if it is integrated into an ongoing development program. The integration approach requires knowledge of the contents of the accommodating subjects or programs and knowledge of the contents of the accommodating subjects or programs and knowledge of the contents of population education. Guidelines suggested include the following steps in developing an integrated curriculum and instructional materials. First determine the needs, characteristics and other background information needed on the target group. Next prioritize the problems and needs of the target group, and formulate educational objectives from the identified needs and problems. Next determine and sequence the curriculum contents and then determine specific population education objectives and contents for integration, and what specific materials have to be developed. Then identify the specific type of format of materials to be developed, and write the first draft of the material. Also prepare illustrations and other art and graphic materials. Then the draft material should be reviewed and translated into the language of the target audience if needed. The materials should then be pretested, or field tested, using a sample of the intended users. To make sure the materials are reaching the target groups and being used effectively, a user's guide should be prepared and teachers and facilitators, as well as supervisors, should be prepared on the use of the material. In addition, a distribution and utilization plan should be prepared. Nonformal education materials can be distributed through libraries

  4. Primary healthcare-based integrated care with opioid agonist treatment: First experience from Ukraine.

    Science.gov (United States)

    Morozova, Olga; Dvoriak, Sergey; Pykalo, Iryna; Altice, Frederick L

    2017-04-01

    Ukraine's HIV epidemic is concentrated among people who inject drugs (PWID), however, coverage with opioid agonist therapies (OATs) available mostly at specialty addiction clinics is extremely low. OAT integrated into primary healthcare clinics (PHCs) provides an opportunity for integrating comprehensive healthcare services and scaling up OAT. A pilot study of PHC-based integrated care for drug users conducted in two Ukrainian cities between 2014 and 2016 included three sub-studies: 1) cross-sectional treatment site preference assessment among current OAT patients (N=755); 2) observational cohort of 107 PWID who continued the standard of care versus transition of stabilized and newly enrolled PWID into PHC-based integrated care; and 3) pre/post analysis of attitudes toward PWID and HIV patients by PHC staff (N=26). Among 755 OAT patients, 53.5% preferred receiving OAT at PHCs, which was independently correlated with convenience, trust in physician, and treatment with methadone (vs. buprenorphine). In 107 PWID observed over 6 months, retention in treatment was high: 89% in PWID continuing OAT in specialty addiction treatment settings (standard of care) vs 94% in PWID transitioning to PHCs; and 80% among PWID newly initiating OAT in PHCs. Overall, satisfaction with treatment, subjective self-perception of well-being, and trust in physician significantly increased in patients prescribed OAT in PHCs. Among PHC staff, attitudes towards PWID and HIV patients significantly improved over time. OAT can be successfully integrated into primary care in low and middle-income countries and improves outcomes in both patients and clinicians while potentially scaling-up OAT for PWID. Copyright © 2017 Elsevier B.V. All rights reserved.

  5. Verification test for radiation reduction effect and material integrity on PWR primary system by zinc injection

    Energy Technology Data Exchange (ETDEWEB)

    Kawakami, H.; Nagata, T.; Yamada, M. [Nuclear Power Engineering Corp. (Japan); Kasahara, K.; Tsuruta, T.; Nishimura, T. [Mitsubishi Heavy Industries, Ltd. (Japan); Ishigure, K. [Saitama Inst. of Tech. (Japan)

    2002-07-01

    Zinc injection is known to be an effective method for the reduction of radiation source in the primary water system of a PWR. There is a need to verify the effect of Zn injection operation on radiation source reduction and materials integrity of PWR primary circuit. In order to confirm the effectiveness of Zn injection, verification test as a national program sponsored by Ministry of Economy, Trade and Industry (METI) was started in 1995 for 7-year program, and will be finished by the end of March in 2002. This program consists of irradiation test and material integrity test. Irradiation test as an In-Pile-Test managed by AEAT Plc(UK) was performed using the LVR-15 reactor of NRI Rez in Check Republic. Furthermore, Out-of-Pile-Test using film adding unit was also performed to obtain supplemental data for In-Pile-Test at Takasago Engineering Laboratory of NUPEC. Material Integrity test was planned to perform constant load test, constant strain test and corrosion test at the same time using large scale Loop and slow strain extension rate testing (SSRT) at Takasago Engineering Laboratory of NUPEC. In this paper, the results of the verification test for Zinc program at present are discussed. (authors)

  6. Land Cover Classification Using Integrated Spectral, Temporal, and Spatial Features Derived from Remotely Sensed Images

    Directory of Open Access Journals (Sweden)

    Yongguang Zhai

    2018-03-01

    Full Text Available Obtaining accurate and timely land cover information is an important topic in many remote sensing applications. Using satellite image time series data should achieve high-accuracy land cover classification. However, most satellite image time-series classification methods do not fully exploit the available data for mining the effective features to identify different land cover types. Therefore, a classification method that can take full advantage of the rich information provided by time-series data to improve the accuracy of land cover classification is needed. In this paper, a novel method for time-series land cover classification using spectral, temporal, and spatial information at an annual scale was introduced. Based on all the available data from time-series remote sensing images, a refined nonlinear dimensionality reduction method was used to extract the spectral and temporal features, and a modified graph segmentation method was used to extract the spatial features. The proposed classification method was applied in three study areas with land cover complexity, including Illinois, South Dakota, and Texas. All the Landsat time series data in 2014 were used, and different study areas have different amounts of invalid data. A series of comparative experiments were conducted on the annual time-series images using training data generated from Cropland Data Layer. The results demonstrated higher overall and per-class classification accuracies and kappa index values using the proposed spectral-temporal-spatial method compared to spectral-temporal classification methods. We also discuss the implications of this study and possibilities for future applications and developments of the method.

  7. Integrating Crowdsourced Data with a Land Cover Product: A Bayesian Data Fusion Approach

    Directory of Open Access Journals (Sweden)

    Sarah Gengler

    2016-06-01

    Full Text Available For many environmental applications, an accurate spatial mapping of land cover is a major concern. Currently, land cover products derived from satellite data are expected to offer a fast and inexpensive way of mapping large areas. However, the quality of these products may also largely depend on the area under study. As a result, it is common that various products disagree with each other, and the assessment of their respective quality still relies on ground validation datasets. Recently, crowdsourced data have been suggested as an alternate source of information that might help overcome this problem. However, crowdsourced data still remain largely discarded in scientific studies due to their inherent poor quality assurance. The aim of this paper is to present an efficient methodology that allows the user to code information brought by crowdsourced data even if no prior quality estimation is at hand and possibly to fuse this information with existing land cover products in order to improve their accuracy. It is first suggested that information brought by volunteers can be coded as a set of inequality constraints about the probabilities of the various land use classes at the visited places. This in turn allows estimating optimal probabilities based on a maximum entropy principle and to proceed afterwards with a spatial interpolation of these volunteers’ information. Finally, a Bayesian data fusion approach can be used for fusing multiple volunteers’ contributions with a remotely-sensed land cover product. This methodology is illustrated in this paper by focusing on the mapping of croplands in Ethiopia, where the aim is to improve the mapping of cropland as coming out from a land cover product with mitigated performances. It is shown how crowdsourced information can seriously improve the quality of the final product. The corresponding results also suggest that a prior assessing of remotely-sensed data quality can seriously improve the benefit

  8. General practice integration in Australia. Primary health services provider and consumer perceptions of barriers and solutions.

    Science.gov (United States)

    Appleby, N J; Dunt, D; Southern, D M; Young, D

    1999-08-01

    To identify practical examples of barriers and possible solutions to improve general practice integration with other health service providers. Twelve focus groups, including one conducted by teleconference, were held across Australia with GPs and non GP primary health service providers between May and September, 1996. Focus groups were embedded within concept mapping sessions, which were used to conceptually explore the meaning of integration in general practice. Data coding, organising and analysis were based on the techniques documented by Huberman and Miles. Barriers to integration were perceived to be principally due to the role and territory disputes between the different levels of government and their services, the manner in which the GP's role is currently defined, and the system of GP remuneration. Suggestions on ways to improve integration involved two types of strategies. The first involves initiatives implemented 'top down' through major government reform to service structures, including the expansion of the role of divisions of general practice, and structural changes to the GP remuneration systems. The second type of strategy suggested involves initiatives implemented from the 'bottom up' involving services such as hospitals (e.g. additional GP liaison positions) and the use of information technology to link services and share appropriate patient data. The findings support the need for further research and evaluation of initiatives aimed at achieving general practice integration at a systems level. There is little evidence to suggest which types of initiatives improve integration. However, general practice has been placed in the centre of the health care debate and is likely to remain central to the success of such initiatives. Clarification of the future role and authority of general practice will therefore be required if such integrative strategies are to be successful at a wider health system level.

  9. An integrated approach to modeling changes in land use, land cover, and disturbance and their impact on ecosystem carbon dynamics: a case study in the Sierra Nevada Mountains of California

    Directory of Open Access Journals (Sweden)

    Benjamin M. Sleeter

    2015-06-01

    Full Text Available Increased land-use intensity (e.g. clearing of forests for cultivation, urbanization, often results in the loss of ecosystem carbon storage, while changes in productivity resulting from climate change may either help offset or exacerbate losses. However, there are large uncertainties in how land and climate systems will evolve and interact to shape future ecosystem carbon dynamics. To address this we developed the Land Use and Carbon Scenario Simulator (LUCAS to track changes in land use, land cover, land management, and disturbance, and their impact on ecosystem carbon storage and flux within a scenario-based framework. We have combined a state-and-transition simulation model (STSM of land change with a stock and flow model of carbon dynamics. Land-change projections downscaled from the Intergovernmental Panel on Climate Change’s (IPCC Special Report on Emission Scenarios (SRES were used to drive changes within the STSM, while the Integrated Biosphere Simulator (IBIS ecosystem model was used to derive input parameters for the carbon stock and flow model. The model was applied to the Sierra Nevada Mountains ecoregion in California, USA, a region prone to large wildfires and a forestry sector projected to intensify over the next century. Three scenario simulations were conducted, including a calibration scenario, a climate-change scenario, and an integrated climate- and land-change scenario. Based on results from the calibration scenario, the LUCAS age-structured carbon accounting model was able to accurately reproduce results obtained from the process-based biogeochemical model. Under the climate-only scenario, the ecoregion was projected to be a reliable net sink of carbon, however, when land use and disturbance were introduced, the ecoregion switched to become a net source. This research demonstrates how an integrated approach to carbon accounting can be used to evaluate various drivers of ecosystem carbon change in a robust, yet transparent

  10. An integrated approach to modeling changes in land use, land cover, and disturbance and their impact on ecosystem carbon dynamics: a case study in the Sierra Nevada Mountains of California

    Science.gov (United States)

    Sleeter, Benjamin M.; Liu, Jinxun; Daniel, Colin; Frid, Leonardo; Zhu, Zhiliang

    2015-01-01

    Increased land-use intensity (e.g. clearing of forests for cultivation, urbanization), often results in the loss of ecosystem carbon storage, while changes in productivity resulting from climate change may either help offset or exacerbate losses. However, there are large uncertainties in how land and climate systems will evolve and interact to shape future ecosystem carbon dynamics. To address this we developed the Land Use and Carbon Scenario Simulator (LUCAS) to track changes in land use, land cover, land management, and disturbance, and their impact on ecosystem carbon storage and flux within a scenario-based framework. We have combined a state-and-transition simulation model (STSM) of land change with a stock and flow model of carbon dynamics. Land-change projections downscaled from the Intergovernmental Panel on Climate Change’s (IPCC) Special Report on Emission Scenarios (SRES) were used to drive changes within the STSM, while the Integrated Biosphere Simulator (IBIS) ecosystem model was used to derive input parameters for the carbon stock and flow model. The model was applied to the Sierra Nevada Mountains ecoregion in California, USA, a region prone to large wildfires and a forestry sector projected to intensify over the next century. Three scenario simulations were conducted, including a calibration scenario, a climate-change scenario, and an integrated climate- and land-change scenario. Based on results from the calibration scenario, the LUCAS age-structured carbon accounting model was able to accurately reproduce results obtained from the process-based biogeochemical model. Under the climate-only scenario, the ecoregion was projected to be a reliable net sink of carbon, however, when land use and disturbance were introduced, the ecoregion switched to become a net source. This research demonstrates how an integrated approach to carbon accounting can be used to evaluate various drivers of ecosystem carbon change in a robust, yet transparent modeling

  11. Integrated equipment for increasing and maintaining coolant pressure in primary circuit of PWR nuclear power plant

    International Nuclear Information System (INIS)

    Sykora, D.

    1986-01-01

    An open heat pump circuit is claimed connected to the primary circuit. The pump circuit consists of a steam pressurizer with a built-in steam distributor, a compressor, an expander, a reducing valve, an auxiliary pump, and of water and steam pipes. The operation is described and a block diagram is shown of integrated equipment for increasing and maintaining pressure in the nuclear power plant primary circuit. The appropriate entropy diagram is also shown. The advantage of the open pump circuit consists in reducing the electric power input and electric power consumption for the steam pressurizers, removing entropy loss in heat transfer with high temperature gradient, in the possibility of inserting, between the expander and the auxiliary pump, a primary circuit coolant treatment station, in simplified design and manufacture of the high-pressure steam pressurizer vessel, reducing the weight of the steam pressurizer by changing its shape from cylindrical to spherical, increasing the rate of pressure growth in the primary circuit. (E.S.)

  12. Learning to listen to the organisational rhetoric of primary health and social care integration.

    Science.gov (United States)

    Warne, T; McAndrew, S; King, M; Holland, K

    2007-11-01

    The sustained modernisation of the UK primary health care service has resulted in individuals and organisations having to develop more integrated ways of working. This has resulted in changes to the structure and functioning of primary care organisations, changes to the traditional workforce, and an increase in scope of primary care practice. These changes have contributed to what for many staff has become a constantly turbulent organisational and practice environment. Data from a three-year project, commissioned by the North West Development Agency is used to explore how staff involved in these changes dealt with this turbulence. Three hundred and fifty staff working within primary care participated in the study. A multimethods approach was used which facilitated an iterative analysis and data collection process. Thematic analysis revealed a high degree of congruence between the perceptions of all staff groups with evidence of a generally well-articulated, but often rhetorical view of the organisational and professional factors involved in how these changes were experienced. This rhetoric was used by individuals as a way of containing both the good and bad elements of their experience. This paper discusses how these defense mechanisms need to be recognised and understood by managers so that a more supportive organisational culture is developed.

  13. INTEGRATED DRILLING SYSTEM USING MUD ACTUATED DOWN HOLE HAMMER AS PRIMARY ENGINE

    Energy Technology Data Exchange (ETDEWEB)

    John V. Fernandez; David S. Pixton

    2005-12-01

    A history and project summary of the development of an integrated drilling system using a mud-actuated down-hole hammer as its primary engine are given. The summary includes laboratory test results, including atmospheric tests of component parts and simulated borehole tests of the hammer system. Several remaining technical hurdles are enumerated. A brief explanation of commercialization potential is included. The primary conclusion for this work is that a mud actuated hammer can yield substantial improvements to drilling rate in overbalanced, hard rock formations. A secondary conclusion is that the down-hole mud actuated hammer can serve to provide other useful down-hole functions including generation of high pressure mud jets, generation of seismic and sonic signals, and generation of diagnostic information based on hammer velocity profiles.

  14. Integration of satellite-induced fluorescence and vegetation optical depth to improve the retrieval of land evaporation

    Science.gov (United States)

    Pagán, B. R.; Martens, B.; Maes, W. H.; Miralles, D. G.

    2017-12-01

    Global satellite-based data sets of land evaporation overcome limitations in coverage of in situ measurements while retaining some observational nature. Although their potential for real world applications are promising, their value during dry conditions is still poorly understood. Most evaporation retrieval algorithms are not directly sensitive to soil moisture. An exception is the Global Land Evaporation Amsterdam Model (GLEAM), which uses satellite surface soil moisture and precipitation to account for land water availability. The existing methodology may greatly benefit from the optimal integration of novel observations of the land surface. Microwave vegetation optical depth (VOD) and near-infrared solar-induced fluorescence (SIF) are expected to reflect different aspects of evaporative stress. While the former is considered to be a proxy of vegetation water content, the latter is indicative of the activity of photosynthetic machinery. As stomata regulate both photosynthesis and transpiration, we expect a relationship between SIF and transpiration. An important motivation to incorporate observations in land evaporation calculations is that plant transpiration - usually the largest component of the flux - is extremely challenging to model due to species-dependent responses to drought. Here we present an innovative integration of VOD and SIF into the GLEAM evaporative stress function. VOD is utilized as a measurement of isohydricity to improve the representation of species specific drought responses. SIF is used for transpiration modelling, a novel application, and standardized by incoming solar radiation to better account for radiation-limited periods. Results are validated with global FLUXNET and International Soil Moisture Network data and demonstrate that the incorporation of VOD and SIF can yield accurate estimates of transpiration over large-scales, which are essential to further understand ecosystem-atmosphere feedbacks and the response of terrestrial

  15. Integrated services to support detection, prevention and planning of the agricultural-forest-rural land against fires

    Science.gov (United States)

    Scipioni, A.; Tagliaferri, F.

    2009-04-01

    Objective of the document is to define lines of development and distribution of the services to support detection, prevention and planning of the agricultural-forest-rural land against fire. The services will be a valid support on hand of the Regional and National Administrations involved in the agricultural-forest-rural activities (Ministry of Agricultural and Forestry Policies, National Forest Police, ecc..), through the employment of the SIAN "National Agricultural Informative System", that is the integrated national information system for the entire agriculture, forestry and fisheries Administration. The services proposals would be distributed through the GIS (Geographic Information Systems) of the SIAN: the GIS database is a single nation-wide digital graphic database consisting of: - Ortophotos: Aerial images of approz. 45 km2 each with ground resolution of 50 cm; - Cadastral maps: Land maps; - Thematic layers: Land use and crops identification The GIS services can take full advantage of the benefits of SIAN architectural model designed for best integration and interoperability with other Central and Local P.A. bodies whose main items are: - Integration of information from different sources; - Maintainance of the internal coeherence of any integrated information; - Flexibility with respect to technical or organizational changes The "innovative "services described below could be useful to support the development of institutional tasks of public Agencies and Administrations (es. Regions or Civil Protection agencies) according to than previewed from the D.Lgs. 173/98. Services of support to the management of the phenomenon of wildland fires The activities outlined in below figure, don't have a linear and defined temporal sequence, but a dynamic and time integration. It guarantees not only the integrated use of the various information, but also the value of every product, for level of accuracy, coherence and timeliness of the information. Description of four main

  16. An Integrated Modelling System to Predict Hydrological Processes under Climate and Land-Use/Cover Change Scenarios

    Directory of Open Access Journals (Sweden)

    Babak Farjad

    2017-10-01

    Full Text Available This study proposes an integrated modeling system consisting of the physically-based MIKE SHE/MIKE 11 model, a cellular automata model, and general circulation models (GCMs scenarios to investigate the independent and combined effects of future climate and land-use/land-cover (LULC changes on the hydrology of a river system. The integrated modelling system is applied to the Elbow River watershed in southern Alberta, Canada in conjunction with extreme GCM scenarios and two LULC change scenarios in the 2020s and 2050s. Results reveal that LULC change substantially modifies the river flow regime in the east sub-catchment, where rapid urbanization is occurring. It is also shown that the change in LULC causes an increase in peak flows in both the 2020s and 2050s. The impacts of climate and LULC change on streamflow are positively correlated in winter and spring, which intensifies their influence and leads to a significant rise in streamflow, and, subsequently, increases the vulnerability of the watershed to spring floods. This study highlights the importance of using an integrated modeling approach to investigate both the independent and combined impacts of climate and LULC changes on the future of hydrology to improve our understanding of how watersheds will respond to climate and LULC changes.

  17. Integrated assessment of future land use in Brazil under increasing demand for bioenergy

    NARCIS (Netherlands)

    Verstegen, Judith; van der Hilst, Floortje; Karssenberg, Derek; Faaij, André

    2014-01-01

    Environmental impacts of a future increase in demand for bioenergydepend on the magnitude, location and pattern of the direct and indirectland use change of energy cropland expansion. Here we aim at 1)projecting the spatiotemporal pattern of sugar cane expansion and theeffect on other land uses in

  18. Figuring rural development : concepts and cases of land use, sustainability and integrative indicators

    NARCIS (Netherlands)

    Hobbes, Marieke

    2010-01-01

    Sustainable economic development is essential for hundreds of millions of poor households in rural areas. This book represents a merger of environmental science and rural development economics. It elucidates the linkage between rational choice theory and theories on land use change. It builds a

  19. Pimp Your Landscape - a Generic Approach for Integrating Regional Stakeholder Needs into Land Use Planning

    Directory of Open Access Journals (Sweden)

    Christine Fürst

    2010-09-01

    Full Text Available This article introduces Pimp your landscape, a tool that was developed for evaluating the effects of changes in land use patterns. The main application field is to support interactions and communication among actors in spatial planning. With this tool, different land use pattern alternatives can be visualized in a short time, and their impact on land use services can be evaluated immediately. Also, spatial training and environmental education with regard to sustainable land use management can be supported. The tool was developed in an iterative process, in close cooperation and over intensive exchanges with end-users. A resulting feature is the provision of two different modi oriented on the professional background and skills of the users. The biggest advantage of Pimp your landscape is the simple entry and handling. However, the system also offers the possibility to go in-depth and work with complex rule sets. The presented paper introduces the development background and development process of Pimp your landscape and describes the tool's resulting concept and actual usage. Finally, possible constraints of the use of the system and potential workarounds are discussed.

  20. Integrating interferometric SAR data with levelling measurements of land subsidence using geostatistics

    NARCIS (Netherlands)

    Zhou, Y.; Stein, A.; Molenaar, M.

    2003-01-01

    Differential Synthetic Aperture Radar (SAR) interferometric (D-InSAR) data of ground surface deformation are affected by several error sources associated with image acquisitions and data processing. In this paper, we study the use of D-InSAR for quantifying land subsidence due to groundwater

  1. Implementation of the structural integrity analysis for PWR primary components and piping

    International Nuclear Information System (INIS)

    Pellissier-Tanon, A.

    1982-01-01

    The trends on the definition, the assessment and the application of fracture strength evaluation methodology, which have arisen through experience in the design, construction and operation of French 900-MW plants are reviewed. The main features of the methodology proposed in a draft of Appendix ZG of the RCC-M code of practice for the design verification of fracture strength of primary components are presented. The research programs are surveyed and discussed from four viewpoints, first implementation of the LEFM analysis, secondly implementation of the fatigue crack propagation analysis, thirdly analysis of vessel integrity during emergency core cooling, and fourthly methodology for tear fracture analysis. (author)

  2. General practice, primary care, and health service psychology: concepts, competencies, and the Combined-Integrated model.

    Science.gov (United States)

    Schulte, Timothy J; Isley, Elayne; Link, Nancy; Shealy, Craig N; Winfrey, LaPearl Logan

    2004-10-01

    The profession of psychology is being impacted profoundly by broader changes within the national system of health care, as mental and behavioral health services are being recognized as essential components of a comprehensive, preventive, and cost-efficient primary care system. To fully define and embrace this role, the discipline of professional psychology must develop a shared disciplinary identity of health service psychology and a generalized competency-based model for doctoral education and training. This very framework has been adopted by Combined-Integrated (C-I) doctoral programs in professional psychology, which train across the practice areas (clinical, counseling, and school psychology) to provide a general and integrative foundation for their students. Because C-I programs produce general practitioners who are competent to function within a variety of health service settings, this innovative training approach has great potential to educate and train psychologists for a changing health care marketplace. Copyright 2004 Wiley Periodicals, Inc.

  3. Clinical data integration model. Core interoperability ontology for research using primary care data.

    Science.gov (United States)

    Ethier, J-F; Curcin, V; Barton, A; McGilchrist, M M; Bastiaens, H; Andreasson, A; Rossiter, J; Zhao, L; Arvanitis, T N; Taweel, A; Delaney, B C; Burgun, A

    2015-01-01

    This article is part of the Focus Theme of METHODS of Information in Medicine on "Managing Interoperability and Complexity in Health Systems". Primary care data is the single richest source of routine health care data. However its use, both in research and clinical work, often requires data from multiple clinical sites, clinical trials databases and registries. Data integration and interoperability are therefore of utmost importance. TRANSFoRm's general approach relies on a unified interoperability framework, described in a previous paper. We developed a core ontology for an interoperability framework based on data mediation. This article presents how such an ontology, the Clinical Data Integration Model (CDIM), can be designed to support, in conjunction with appropriate terminologies, biomedical data federation within TRANSFoRm, an EU FP7 project that aims to develop the digital infrastructure for a learning healthcare system in European Primary Care. TRANSFoRm utilizes a unified structural / terminological interoperability framework, based on the local-as-view mediation paradigm. Such an approach mandates the global information model to describe the domain of interest independently of the data sources to be explored. Following a requirement analysis process, no ontology focusing on primary care research was identified and, thus we designed a realist ontology based on Basic Formal Ontology to support our framework in collaboration with various terminologies used in primary care. The resulting ontology has 549 classes and 82 object properties and is used to support data integration for TRANSFoRm's use cases. Concepts identified by researchers were successfully expressed in queries using CDIM and pertinent terminologies. As an example, we illustrate how, in TRANSFoRm, the Query Formulation Workbench can capture eligibility criteria in a computable representation, which is based on CDIM. A unified mediation approach to semantic interoperability provides a

  4. Variation and Trends of Landscape Dynamics, Land Surface Phenology and Net Primary Production of the Appalachian Mountains

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Yeqiao; Zhao, Jianjun; Zhou, Yuyu; Zhang, Hongyan

    2012-12-15

    The gradients of the Appalachian Mountains in elevations and latitudes provide a unique regional perspective of landscape variations in the eastern United States and a section of the southeastern Canada. This study reveals patterns and trends of landscape dynamics, land surface phenology and ecosystem production along the Appalachian Mountains using time series data from Global Inventory Modeling and Mapping Studies (GIMMS) and AVHRR Global Production Efficiency Model (GloPEM) datasets. We analyzed the spatial and temporal patterns of Normalized Difference Vegetation Index (NDVI), length of growing season (LOS) and net primary production (NPP) of selected ecoregions along the Appalachian Mountains regions. We compared the results out of the Appalachian Mountains regions in different spatial contexts including the North America and the Appalachian Trail corridor area. To reveal latitudinal variations we analyzed data and compared the results between 30°N-40°N and 40°N-50°N latitudes. The result revealed significant decreases in annual peak NDVI in the Appalachian Mountains regions. The trend for the Appalachian Mountains regions was -0.0018 (R2=0.55, P<0.0001) NDVI unit decrease per year during 25 years between 1982 and 2006. The LOS had prolonged 0.3 day yr-1 during 25 years over the Appalachian Mountains regions. The NPP increased by 2.68 gC m-2yr-2 in Appalachian Mountains regions from 1981 to 2000. The comparison with the North America reveals the effects of topography and ecosystem compositions of the Appalachian Mountains. The comparison with the Appalachian Trail corridor area provides a regional mega-transect view of the measured variables.

  5. Core Competencies in Integrative Pain Care for Entry-Level Primary Care Physicians.

    Science.gov (United States)

    Tick, Heather; Chauvin, Sheila W; Brown, Michael; Haramati, Aviad

    2015-11-01

    The objective was to develop a set of core competencies for graduating primary care physicians in integrative pain care (IPC), using the Accreditation Council for Graduate Medical Education (ACGME) domains. These competencies build on previous work in competencies for integrative medicine, interprofessional education, and pain medicine and are proposed for inclusion in residency training. A task force was formed to include representation from various professionals who are involved in education, research, and the practice of IPC and who represent broad areas of expertise. The task force convened during a 1.5-day face-to-face meeting, followed by a series of surveys and other vetting processes involving diverse interprofessional groups, which led to the consensus of a final set of competencies. The proposed competencies focus on interprofessional knowledge, skills, and attitudes (KSAs) and are in line with recommendations by the Institute of Medicine, military medicine, and professional pain societies advocating the need for coordination and integration of services for effective pain care with reduced risk and cost and improved outcomes. These ACGME domain compatible competencies for physicians reflect the contributions of several disciplines that will need to be included in evolving interprofessional settings and underscore the need for collaborative care. These core competencies can guide the incorporation of KSAs within curricula. The learning experiences should enable medical educators and graduating primary care physicians to focus more on integrative approaches, interprofessional team-based, patient-centered care that use evidence-based, traditional and complementary disciplines and therapeutics to provide safe and effective treatments for people in pain. Wiley Periodicals, Inc.

  6. Integrated Weed Control for Land Stewardship at Legacy Management's Rocky Flats Site in Colorado - 13086

    Energy Technology Data Exchange (ETDEWEB)

    Nelson, Jody K. [Stoller LMS Team, Contractor to the U.S. Department of Energy Office of Legacy Management, 11025 Dover Street, Suite 1000, Westminster, Colorado 80021 (United States)

    2013-07-01

    Land stewardship is one of nine sustainability programs in the U.S. Department of Energy's Environmental Management System. Land stewardship includes maintaining and improving ecosystem health. At the Rocky Flats Site near Westminster, Colorado, land stewardship is an integral component of the Office of Legacy Management's post-closure monitoring and management at the site. Nearly 263 hectares (650 acres) were disturbed and re-vegetated during site cleanup and closure operations. Proactive management of revegetation areas is critical to the successful reestablishment of native grasslands, wetlands, and riparian communities. The undisturbed native plant communities that occur at the site also require active management to maintain the high-quality wetlands and other habitats that are home to numerous species of birds and other wildlife such as elk and deer, rare plant communities, and the federally listed threatened Preble's meadow jumping mouse. Over the past several decades, an increase of Noxious weeds has impacted much of Colorado's Front Range. As a result, weed control is a key component of the land stewardship program at Rocky Flats. Thirty-three species of state-listed Noxious weeds are known to occur in the Central and Peripheral Operable Units at Rocky Flats, along with another five species that are considered invasive at the site. Early detection and rapid response to control new invasive species is crucial to the program. An integrated weed control/vegetation management approach is key to maintaining healthy, sustainable plant communities that are able to resist Noxious weed invasions. Weed mapping, field surveys, and field-staff training sessions (to learn how to identify new potential problem species) are conducted to help detect and prevent new weed problems. The integrated approach at Rocky Flats includes administrative and cultural techniques (prevention), mechanical controls, biological controls, and chemical controls. Several

  7. Integrated assessment of the impact of climate and land use changes on groundwater quantity and quality in Mancha Oriental (Spain)

    Science.gov (United States)

    Pulido-Velazquez, M.; Peña-Haro, S.; Garcia-Prats, A.; Mocholi-Almudever, A. F.; Henriquez-Dole, L.; Macian-Sorribes, H.; Lopez-Nicolas, A.

    2014-09-01

    Climate and land use change (global change) impacts on groundwater systems cannot be studied in isolation, as various and complex interactions in the hydrological cycle take part. Land-use and land-cover (LULC) changes have a great impact on the water cycle and contaminant production and transport. Groundwater flow and storage are changing in response not only to climatic changes but also to human impacts on land uses and demands (global change). Changes in future climate and land uses will alter the hydrologic cycles and subsequently impact the quantity and quality of regional water systems. Predicting the behavior of recharge and discharge conditions under future climatic and land use changes is essential for integrated water management and adaptation. In the Mancha Oriental system in Spain, in the last decades the transformation from dry to irrigated lands has led to a significant drop of the groundwater table in one of the largest groundwater bodies in Spain, with the consequent effect on stream-aquifer interaction in the connected Jucar River. Streamflow depletion is compromising the related ecosystems and the supply to the downstream demands, provoking a complex management issue. The intense use of fertilizer in agriculture is also leading to locally high groundwater nitrate concentrations. Understanding the spatial and temporal distribution of water availability and water quality is essential for a proper management of the system. In this paper we analyze the potential impact of climate and land use change in the system by using an integrated modelling framework consisting of the sequentially coupling of a watershed agriculturally-based hydrological model (SWAT) with the ground-water model MODFLOW and mass-transport model MT3D. SWAT model outputs (mainly groundwater recharge and pumping, considering new irrigation needs under changing ET and precipitation) are used as MODFLOW inputs to simulate changes in groundwater flow and storage and impacts on stream

  8. Integrated Assessment of Climate Change, Land-Use Changes, and Regional Carbon Dynamics in United States

    Science.gov (United States)

    Mu, J. E.; Sleeter, B. M.; Abatzoglou, J. T.

    2015-12-01

    The fact that climate change is likely to accelerate throughout this century means that climate-sensitive sectors such as agriculture will need to adapt increasingly to climate change. This fact also means that understanding the potential for agricultural adaptation, and how it could come about, is important for ongoing technology investments in the public and private sectors, for infrastructure investments, and for the various policies that address agriculture directly or indirectly. This paper is an interdisciplinary study by collaborating with climate scientist, agronomists, economists, and ecologists. We first use statistical models to estimate impacts of climate change on major crop yields (wheat, corn, soybeans, sorghum, and cotton) and predict changes in crop yields under future climate condition using downscaled climate projections from CMIP5. Then, we feed the predicted yield changes to a partial equilibrium economic model (FASOM-GHG) to evaluate economic and environmental outcomes including changes in land uses (i.e., cropland, pastureland, forest land, urban land and land for conservation) in United States. Finally, we use outputs from FASOM-GHG as inputs for the ST-SIM ecological model to simulate future carbon dynamics through changes in land use under future climate conditions and discuss the rate of adaptation through land-use changes. Findings in this paper have several merits compared to previous findings in the literature. First, we add economic components to the carbon calculation. It is important to include socio-economic conditions when calculating carbon emission and/or carbon sequestration because human activities are the major contribution to atmosphere GHG emissions. Second, we use the most recent downscaled climate projections from CMIP5 to capture uncertainties from climate model projections. Instead of using all GCMs, we select five GCMs to represent the ensemble. Third, we use a bottom-up approach because we start from micro-level data

  9. Developing the Botswana Primary Care Guideline: an integrated, symptom-based primary care guideline for the adult patient in a resource-limited setting

    Directory of Open Access Journals (Sweden)

    Tsima BM

    2016-08-01

    Full Text Available Billy M Tsima,1 Vincent Setlhare,1 Oathokwa Nkomazana2 1Department of Family Medicine and Public Health, 2Department of Surgery, Faculty of Medicine, University of Botswana, Gaborone, Botswana Background: Botswana’s health care system is based on a primary care model. Various national guidelines exist for specific diseases. However, most of the guidelines address management at a tertiary level and often appear nonapplicable for the limited resources in primary care facilities. An integrated symptom-based guideline was developed so as to translate the Botswana national guidelines to those applicable in primary care. The Botswana Primary Care Guideline (BPCG integrates the care of communicable diseases, including HIV/AIDS and noncommunicable diseases, by frontline primary health care workers.Methods: The Department of Family Medicine, Faculty of Medicine, University of Botswana, together with guideline developers from the Knowledge Translation Unit (University of Cape Town collaborated with the Ministry of Health to develop the guideline. Stakeholder groups were set up to review specific content of the guideline to ensure compliance with Botswana government policy and the essential drug list.Results: Participants included clinicians, academics, patient advocacy groups, and policymakers from different disciplines, both private and public. Drug-related issues were identified as necessary for implementing recommendations of the guideline. There was consensus by working groups for updating the essential drug list for primary care and expansion of prescribing rights of trained nurse prescribers in primary care within their scope of practice. An integrated guideline incorporating common symptoms of diseases seen in the Botswana primary care setting was developed.Conclusion: The development of the BPCG took a broad consultative approach with buy in from relevant stakeholders. It is anticipated that implementation of the BPCG will translate into better

  10. Assessing Land Degradation/Recovery in the African Sahel from Long-Term Earth Observation Based Primary Productivity and Precipitation Relationships

    DEFF Research Database (Denmark)

    Fensholt, Rasmus; Rasmussen, Kjeld; Kaspersen, Per Skougaard

    2013-01-01

    degradation. Consequently, RUE may be regarded as means of normalizing ANPP for the impact of annual precipitation, and as an indicator of non-precipitation related land degradation. Large scale and long term identification and monitoring of land degradation in drylands, such as the Sahel, can only......The ‘rain use efficiency’ (RUE) may be defined as the ratio of above-ground net primary productivity (ANPP) to annual precipitation, and it is claimed to be a conservative property of the vegetation cover in drylands, if the vegetation cover is not subject to non-precipitation related land...... useless as a means of normalizing for the impact of annual precipitation on ANPP. By replacing ΣNDVI by a ‘small NDVI integral’, covering only the rainy season and counting only the increase of NDVI relative to some reference level, this problem is solved. Using this approach, RUE is calculated...

  11. Integrated assessment of chemical stressors and ecological impact in mixed land use stream systems

    DEFF Research Database (Denmark)

    Sonne, Anne Thobo

    activities, including contaminated sites. To determine potential impacts, the chemical quality of both organic (i.e. pharmaceuticals, gasoline constituents, chlorinated solvents, and pesticides) and inorganic (i.e. metals, general water chemistry and macroions) compounds was assessed in all three stream...... multiple compounds (i.e. organic and inorganic chemical stressors) and stream compartments to locate key sources and risk drivers. The approaches and findings in this thesis could truly be helpful for management and future remediation of mixed land use stream systems....... of the different stream compartments thus comprises both temporal and spatial variation. Despite the growing understanding of the complexity, approaches for a holistic risk assessment of the potential impacts in the three stream compartments of a mixed land use stream system are still missing. To investigate...

  12. Community-Based Rehabilitation in Bangladesh, Health Components Need to be Integrated with Primary Health Care

    Directory of Open Access Journals (Sweden)

    Md Shahidur Rahman

    2018-01-01

    Full Text Available Community-based rehabilitation (CBR is defined as a strategy within general community development for the rehabilitation, equalization of opportunities, poverty reduction and social inclusion of people with disabilities. The role of CBR is to work closely with the health sector to ensure that the needs of people with disabilities and their family members are addressed in the areas of health promotion, prevention, medical care, rehabilitation and assistive devices. CBR also needs to work with individuals and their families to facilitate their access to health services and to work with other sectors to ensure that all aspects of health are addressed. Health components of CBR as per WHO guidelines are grossly neglected in Bangladesh. Some government and non-government organizations are working independently, but health components are inadequately addressed. We observed that primary health care, if integrated with medical rehabilitation of disabled, will better address the need and help bring disabled into mainstream of development. Health care providers at grass root level need to be trained in CBR activities which can be arranged centrally with health ministry, social welfare ministry and rehabilitation specialists. In this review we have tried to reveal the health components of CBR in global and Bangladesh context and importance of integrating health components of CBR with primary health care.

  13. North American Bats and Mines Project: A cooperative approach for integrating bat conservation and mine-land reclamation

    Energy Technology Data Exchange (ETDEWEB)

    Ducummon, S.L. [Bat Conservation International, Austin, TX (United States)

    1997-12-31

    Inactive underground mines now provide essential habitat for more than half of North America`s 44 bat species, including some of the largest remaining populations. Thousands of abandoned mines have already been closed or are slated for safety closures, and many are destroyed during renewed mining in historic districts. The available evidence suggests that millions of bats have already been lost due to these closures. Bats are primary predators of night-flying insects that cost American farmers and foresters billions of dollars annually, therefore, threats to bat survival are cause for serious concern. Fortunately, mine closure methods exist that protect both bats and humans. Bat Conservation International (BCI) and the USDI-Bureau of Land Management founded the North American Bats and Mines Project to provide national leadership and coordination to minimize the loss of mine-roosting bats. This partnership has involved federal and state mine-land and wildlife managers and the mining industry. BCI has trained hundreds of mine-land and wildlife managers nationwide in mine assessment techniques for bats and bat-compatible closure methods, published technical information on bats and mine-land management, presented papers on bats and mines at national mining and wildlife conferences, and collaborated with numerous federal, state, and private partners to protect some of the most important mine-roosting bat populations. Our new mining industry initiative, Mining for Habitat, is designed to develop bat habitat conservation and enhancement plans for active mining operations. It includes the creation of cost-effective artificial underground bat roosts using surplus mining materials such as old mine-truck tires and culverts buried beneath waste rock.

  14. Navigating trade-offs in land-use planning: integrating human well-being into objective setting

    Directory of Open Access Journals (Sweden)

    Vanessa M. Adams

    2014-12-01

    Full Text Available There is an increasing demand for development of natural resources, which can be accompanied by environmental degradation. Planning for multiple land uses requires navigating trade-offs between social, economic, and environmental outcomes arising from different possible futures. To explore these trade-offs, we use the Daly River catchment, in Australia's Northern Territory, as a case study. The catchment contains areas of priority for both conservation and development. In response to the challenge of navigating the required trade-offs, the Daly River Management Advisory Committee (DRMAC initiated a land-use plan for the region. Both development and conservation of natural resources in the catchment will affect human well-being and the long-term provisioning of ecosystem services in diverse ways. To understand some of these impacts, an innovative engagement process was designed to elicit the relative importance of key factors to residents' well-being. The process identified 19 well-being factors grouped into four domains: biodiversity, socio-cultural, recreational, and commercial. Overall, the highest-ranked well-being factors were in the social-cultural and biodiversity domains while commercial values were ranked the least important. Respondents reported low satisfaction with commercial factors as well, noting concerns over environmental impacts from existing developments and sustainability of future developments. We identified differences in the reported importance values for several types of stakeholders, most notably between indigenous respondents and those employed in the agricultural sectors. Indigenous respondents placed greater importance on biodiversity and socio-cultural factors. Agricultural respondents placed greater importance on commercial factors. The outcomes of our engagement were integrated into DRMAC's process of objective-setting to ensure that objectives for each domain were included in land-use planning. Our results can also

  15. Relevant patient characteristics for guiding tailored integrated diabetes primary care: a systematic review.

    Science.gov (United States)

    Hertroijs, Dorijn F L; Elissen, Arianne M J; Brouwers, Martijn C G J; Schaper, Nicolaas C; Ruwaard, Dirk

    2018-02-06

    Aim To identify which patient-related effect modifiers influence the outcomes of integrated care programs for type 2 diabetes in primary care. Integrated care is a widespread management strategy for the treatment of type 2 diabetes. However, most integrated care programs are not tailored to patients' needs, preferences and abilities. There is increasing consensus that such a patient-centered approach could improve the management of type 2 diabetes. Thus far, it remains unclear which patient-related effect modifiers should guide such an approach. PubMed, CINAHL and EMBASE were searched for empirical studies published after 1998. A systematic literature review was conducted according to the PRISMA guidelines. Findings In total, 23 out of 1015 studies were included. A total of 21 studies measured the effects of integrated diabetes care programs on hemoglobin A1c (HbA1c) and three on low-density lipoprotein cholesterol, systolic blood pressure and health-care utilization. In total, 49 patient characteristics were assessed as potential effect modifiers with HbA1c as an outcome, of which 46 were person or health-related and only three were context-related. Younger age, insulin therapy and longer disease duration were associated with higher HbA1c levels in cross-sectional and longitudinal studies. Higher baseline HbA1c was associated with higher HbA1c at follow-up in longitudinal studies. Information on context- and person-related characteristics was limited, but is necessary to help identify the care needs of individual patients and implement an effective integrated type 2 diabetes tailored care program.

  16. THE PERFORMANCE OF A TIGHT INS/GNSS/PHOTOGRAMMETRIC INTEGRATION SCHEME FOR LAND BASED MMS APPLICATIONS IN GNSS DENIED ENVIRONMENTS

    Directory of Open Access Journals (Sweden)

    C. H. Chu

    2012-07-01

    Full Text Available Nowadays the most common technologies used for positioning and orientation of a mobile mapping system include using Global Navigation Satellite System (GNSS as a major positioning sensor and Inertial Navigation System (INS as the major orientation sensor. The integration strategy of the most commercially system is the loosely coupled (LC architecture, that has the simplest architecture using the GNSS solutions to aid the INS navigation information with proper optimization estimator. The LC does combine the two sensors’ solutions when the number of tracked satellite is more than four. In recent year, another commonly integration strategy is known as tightly coupled (TC architecture. Because the TC uses the GNSS measurements to aid INS, it can integrate measurements provided by GNSS receiver and INS unless no GNSS satellite is tracked. Obviously, the TC architecture is a better candidate for land based mobile mapping applications than LC in Taiwan. Unfortunately, there are still many GNSS denied environment in the urban area, therefore the TC architecture is still not robust and stable enough for MMS application. The overall objective of this paper is to provide a scheme that tightly integrates INS/GNSS and Photogrammetric for land based MMS applications with sufficient and stable POS solutions during GNSS outages. In the traditional photogrammetry operation, numerous ground control points are applied to compute those Exterior Orientation Parameters (EOPs of cameras by bundle adjustment. The key opinion is to derive the INS centre position and attitude and reconstruct 3-D tracking and 3-D object space by cameras EOPs. The proposed algorithm is verified using field test data collected in GNSS denied environments and the preliminary results presented in this study illustrated that the proposed algorithm is able to provide 60% improvement in terms of positioning and orientation accuracy in Taipei and Tainan cities.

  17. The Performance of a Tight Ins/gnss/photogrammetric Integration Scheme for Land Based MMS Applications in Gnss Denied Environments

    Science.gov (United States)

    Chu, C. H.; Chiang, K. W.

    2012-07-01

    Nowadays the most common technologies used for positioning and orientation of a mobile mapping system include using Global Navigation Satellite System (GNSS) as a major positioning sensor and Inertial Navigation System (INS) as the major orientation sensor. The integration strategy of the most commercially system is the loosely coupled (LC) architecture, that has the simplest architecture using the GNSS solutions to aid the INS navigation information with proper optimization estimator. The LC does combine the two sensors' solutions when the number of tracked satellite is more than four. In recent year, another commonly integration strategy is known as tightly coupled (TC) architecture. Because the TC uses the GNSS measurements to aid INS, it can integrate measurements provided by GNSS receiver and INS unless no GNSS satellite is tracked. Obviously, the TC architecture is a better candidate for land based mobile mapping applications than LC in Taiwan. Unfortunately, there are still many GNSS denied environment in the urban area, therefore the TC architecture is still not robust and stable enough for MMS application. The overall objective of this paper is to provide a scheme that tightly integrates INS/GNSS and Photogrammetric for land based MMS applications with sufficient and stable POS solutions during GNSS outages. In the traditional photogrammetry operation, numerous ground control points are applied to compute those Exterior Orientation Parameters (EOPs) of cameras by bundle adjustment. The key opinion is to derive the INS centre position and attitude and reconstruct 3-D tracking and 3-D object space by cameras EOPs. The proposed algorithm is verified using field test data collected in GNSS denied environments and the preliminary results presented in this study illustrated that the proposed algorithm is able to provide 60% improvement in terms of positioning and orientation accuracy in Taipei and Tainan cities.

  18. Factors associated with integrating self-management support into primary care.

    Science.gov (United States)

    Crespo, Richard; Shrewsberry, Molly

    2007-06-01

    The purpose of this article is to expand the understanding of self-management support by describing factors that contribute to implementing a comprehensive self-management program in primary care. Four rural health centers in medically underserved areas participated in a study to document the implementation of a self-management program. This program consisted of a social marketing plan and decision-making tools to guide patients in making self-management behavior changes. The stages of change constructs of the transtheoretical model were used to design the social marketing plan. Key informant interviews were conducted at 6-month and 9-month intervals to document the implementation process. A standardized set of questions was used in the interviews. The data from the interviews were analyzed using content analysis techniques. One of the principle findings is that self-management support requires putting a system in place, not just adding a new component to primary care. The health centers that fully implemented the self-management program made an organizational commitment to keep self-management on the agenda in management meetings, clinical staff set the example by adopting self-management behaviors, and patient self-management support was implemented in multiple patient care venues. Primary care centers with limited financial resources are able to integrate self-management support into their system of chronic illness care.

  19. BURNOUT SYNDROME IN NURSES OF PRIMARY HEALTH CARE: AN INTEGRATIVE REVIEW

    Directory of Open Access Journals (Sweden)

    Magno Conceição das Merces

    2015-04-01

    Full Text Available Background and Objective: Burnout Syndrome (BS also known as burnout is described as a phenomenon composed of feelings of failure and exhaustion, caused by excessive wear and energy resources, mediated by practice and work stress. In this sense, the nurse Primary Health Care (PHC is not exempted in the development of the syndrome in question, since it is a profession that develops their work activities through direct contact with patients and families, making workloads too much which can depreciate the quality of care. This study becomes relevant because it will contribute to the PHC nurses have deeper knowledge of the BS, and few studies at this level of health care. He stood as guiding question: What is the prevalence of BS nurses in the PHC based in Brazilian literature from 2000 to 2014? And as objective to determine the prevalence of BS nurses in the PHC. Content: This is an integrative literature review. To that end, we conducted survey of manuscripts published from 2000 to 2014, using as descriptors, in combination: nurse; burnout and primary care in the Virtual Health Library (VHL. Conclusion: It is not yet possible to know the prevalence of BS nurses in the PHC due to lack of studies in the area. KEYWORDS: Nurse. Burnout, Professional. Primary Health Care.

  20. Early Childhood Behavioral Health Integration in Pediatric Primary Care: Serving Refugee Families in the Healthy Steps Program

    Science.gov (United States)

    Buchholz, Melissa; Fischer, Collette; Margolis, Kate L.; Talmi, Ayelet

    2016-01-01

    Primary care settings are optimal environments for providing comprehensive, family-centered care to young children and their families. Primary care clinics with integrated behavioral health clinicians (BHCs) are well-positioned to build trust and create access to care for marginalized and underserved populations. Refugees from around the world are…

  1. Digital Story-Based Problem Solving Applications: Preservice Primary Teachers' Experiences and Future Integration Plans

    Science.gov (United States)

    Kilic, Çigdem; Sancar-Tokmak, Hatice

    2017-01-01

    This case study investigates how preservice primary school teachers describe their experiences with digital story-based problem solving applications and their plans for the future integration of this technology into their teaching. Totally 113 preservice primary school teachers participated in the study. Data collection tools included a…

  2. Simulation of Sediment Yield in a Semi-Arid River Basin under Changing Land Use: An Integrated Approach of Hydrologic Modelling and Principal Component Analysis

    Directory of Open Access Journals (Sweden)

    Charles Gyamfi

    2016-11-01

    Full Text Available Intensified human activities over the past decades have culminated in the prevalence of dire environmental consequences of sediment yield resulting mainly from land use changes. Understanding the role that land use changes play in the dynamics of sediment yield would greatly enhance decision-making processes related to land use and water resources management. In this study, we investigated the impacts of land use and cover changes on sediment yield dynamics through an integrated approach of hydrologic modelling and principal component analysis (PCA. A three-phase land use scenario (2000, 2007 and 2013 employing the “fix-changing” method was used to simulate the sediment yield of the Olifants Basin. Contributions in the changes in individual land uses to sediment yield were assessed using the component and pattern matrixes of PCA. Our results indicate that sediment yield dynamics in the study area is significantly attributed to the changes in agriculture, urban and forested lands. Changes in agriculture and urban lands were directly proportional to sediment yield dynamics of the Olifants Basin. On the contrary, forested areas had a negative relationship with sediment yield indicating less sediment yield from these areas. The output of this research work provides a simplistic approach of evaluating the impacts of land use changes on sediment yield. The tools and methods used are relevant for policy directions on land and water resources planning and management.

  3. Monitoring land- and water-use dynamics in the Columbia Plateau using remote-sensing computer analysis and integration techniques

    International Nuclear Information System (INIS)

    Wukelic, G.E.; Foote, H.P.; Blair, S.C.; Begej, C.D.

    1981-09-01

    This study successfully utilized advanced, remote-sensing computer-analysis techniques to quantify and map land- and water-use trends potentially relevant to siting, developing, and operating a national high-level nuclear waste repository on the US Department of Energy's (DOE) Hanford Site in eastern Washington State. Specifically, using a variety of digital data bases (primarily multidate Landsat data) and digital analysis programs, the study produced unique numerical data and integrated data reference maps relevant to regional (Columbia Plateau) and localized (Pasco Basin) hydrologic considerations associated with developing such a facility. Accordingly, study results should directly contribute to the preparation of the Basalt Waste Isolation Project site-characterization report currently in progress. Moreover, since all study data developed are in digital form, they can be called upon to contribute to furute reference repository location monitoring and reporting efforts, as well as be utilized in other DOE programmatic areas having technical and/or environmental interest in the Columbia Plateau region. The results obtained indicate that multidate digital Landsat data provide an inexpensive, up-to-date, and accurate data base and reference map of natural and cultural features existing in any region. These data can be (1) computer enhanced to highlight selected surface features of interest; (2) processed/analyzed to provide regional land-cover/use information and trend data; and (3) combined with other line and point data files to accomodate interactive, correlative analyses and integrated color-graphic displays to aid interpretation and modeling efforts

  4. Land reclamation program description

    Energy Technology Data Exchange (ETDEWEB)

    None

    1977-05-01

    The Land Reclamation Program will address the need for coordinated applied and basic research into the physical and ecological problems of land reclamation, and advance the development of cost-effective techniques for reclaiming and rehabilitating mined coal land to productive end uses. The purpose of this new program is to conduct integrated research and development projects focused on near- and long-term reclamation problems in all major U.S. coal resource regions including Alaska and to coordinate, evaluate, and disseminate the results of related studies conducted at other research institutions. The activities of the Land Reclamation Laboratory program will involve close cooperation with industry and focus on establishing a comprehensive field and laboratory effort. Research demonstration sites will be established throughout the United States to address regional and site-specific problems. Close cooperation with related efforts at academic institutions and other agencies, to transfer pertinent information and avoid duplication of effort, will be a primary goal of the program. The major effort will focus on the complete coal extraction/reclamation cycle where necessary to develop solutions to ameliorating the environmental impacts of coal development. A long-range comprehensive national reclamation program will be established that can schedule and prioritize research activities in all of the major coal regions. A fully integrated data management system will be developed to store and manage relevant environmental and land use data. Nine research demonstration sites have been identified.

  5. Climate-driven shifts in continental net primary production implicated as a driver of a recent abrupt increase in the land carbon sink

    Science.gov (United States)

    Buermann, Wolfgang; Beaulieu, Claudie; Parida, Bikash; Medvigy, David; Collatz, George J.; Sheffield, Justin; Sarmiento, Jorge L.

    2016-03-01

    The world's ocean and land ecosystems act as sinks for anthropogenic CO2, and over the last half century their combined sink strength grew steadily with increasing CO2 emissions. Recent analyses of the global carbon budget, however, have uncovered an abrupt, substantial ( ˜ 1 PgC yr-1) and sustained increase in the land sink in the late 1980s whose origin remains unclear. In the absence of this prominent shift in the land sink, increases in atmospheric CO2 concentrations since the late 1980s would have been ˜ 30 % larger than observed (or ˜ 12 ppm above current levels). Global data analyses are limited in regards to attributing causes to changes in the land sink because different regions are likely responding to different drivers. Here, we address this challenge by using terrestrial biosphere models constrained by observations to determine if there is independent evidence for the abrupt strengthening of the land sink. We find that net primary production significantly increased in the late 1980s (more so than heterotrophic respiration), consistent with the inferred increase in the global land sink, and that large-scale climate anomalies are responsible for this shift. We identify two key regions in which climatic constraints on plant growth have eased: northern Eurasia experienced warming, and northern Africa received increased precipitation. Whether these changes in continental climates are connected is uncertain, but North Atlantic climate variability is important. Our findings suggest that improved understanding of climate variability in the North Atlantic may be essential for more credible projections of the land sink under climate change.

  6. Exploring the success of an integrated primary care partnership: a longitudinal study of collaboration processes.

    Science.gov (United States)

    Valentijn, Pim P; Vrijhoef, Hubertus J M; Ruwaard, Dirk; de Bont, Antoinette; Arends, Rosa Y; Bruijnzeels, Marc A

    2015-01-22

    Forming partnerships is a prominent strategy used to promote integrated service delivery across health and social service systems. Evidence about the collaboration process upon which partnerships evolve has rarely been addressed in an integrated-care setting. This study explores the longitudinal relationship of the collaboration process and the influence on the final perceived success of a partnership in such a setting. The collaboration process through which partnerships evolve is based on a conceptual framework which identifies five themes: shared ambition, interests and mutual gains, relationship dynamics, organisational dynamics and process management. Fifty-nine out of 69 partnerships from a national programme in the Netherlands participated in this survey study. At baseline, 338 steering committee members responded, and they returned 320 questionnaires at follow-up. Multiple-regression-analyses were conducted to explore the relationship between the baseline as well as the change in the collaboration process and the final success of the partnerships. Mutual gains and process management were the most significant baseline predictors for the final success of the partnership. A positive change in the relationship dynamics had a significant effect on the final success of a partnership. Insight into the collaboration process of integrated primary care partnerships offers a potentially powerful way of predicting their success. Our findings underscore the importance of monitoring the collaboration process during the development of the partnerships in order to achieve their full collaborative advantage.

  7. Integrating Social Services and Home-Based Primary Care for High-Risk Patients.

    Science.gov (United States)

    Feinglass, Joe; Norman, Greg; Golden, Robyn L; Muramatsu, Naoko; Gelder, Michael; Cornwell, Thomas

    2018-04-01

    There is a consensus that our current hospital-intensive approach to care is deeply flawed. This review article describes the research evidence for developing a better system of care for high-cost, high-risk patients. It reviews the evidence that home-centered care and integration of health care with social services are the cornerstones of a more humane and efficient system. The article describes the strengths and weaknesses of research evaluating the effects of social services in addressing social determinants of health, and how social support is critical to successful acute care transition programs. It reviews the history of incorporating social services into care management, and the prospects that recent payment reforms and regulatory initiatives can succeed in stimulating the financial integration of social services into new care coordination initiatives. The article reviews the literature on home-based primary care for the chronically ill and disabled, and suggests that it is the emergence of this care modality that holds the greatest promise for delivery system reform. In the hope of stimulating further discussion and debate, the authors summarize existing viewpoints on how a home-centered system, which integrates social and medical services, might emerge in the next few years.

  8. Barriers to integrative education from the perspective of pre-service Primary teachers of English

    Directory of Open Access Journals (Sweden)

    García Mata, Jorge

    2009-03-01

    Full Text Available This article presents and analyses the findings of a qualitative study about the perceptions expressed by prospective primary teachers of English about integration and response to special educational needs in the mainstream. The analysis of the data, obtained in the course of the practice teaching period of their course, evidences their ideas on integrative education; besides, a frequent lack of experiences of genuine integrative practices in such a critical period of professional preparation is identified. El presente artículo presenta y analiza los hallazgos de un estudio de naturaleza cualitativa sobre las percepciones que expresan futuros maestros especialistas de inglés en el transcurso de las Prácticas de Enseñanza sobre la integración y la atención a las necesidades educativas especiales en el aula ordinaria. El análisis de los datos textuales aportados por los informantes, además de revelar las ideas que éstos sostienen en torno a la integración, evidencia una frecuente ausencia de experiencias de enseñanza auténticamente integradoras durante ese período crítico de formación profesional

  9. Integration of Lithium-Ion Battery Storage Systems in Hydroelectric Plants for Supplying Primary Control Reserve

    Directory of Open Access Journals (Sweden)

    Fabio Bignucolo

    2017-01-01

    Full Text Available The ever-growing diffusion of renewables as electrical generation sources is forcing the electrical power system to face new and challenging regulation problems to preserve grid stability. Among these, the primary control reserve is reckoned to be one of the most important issues, since the introduction of generators based on renewable energies and interconnected through static converters, if relieved from the primary reserve contribution, reduces both the system inertia and the available power reserve in case of network events involving frequency perturbations. In this scenario, renewable plants such as hydroelectric run-of-river generators could be required to provide the primary control reserve ancillary service. In this paper, the integration between a multi-unit run-of-river power plant and a lithium-ion based battery storage system is investigated, suitably accounting for the ancillary service characteristics as required by present grid codes. The storage system is studied in terms of maximum economic profitability, taking into account its operating constraints. Dynamic simulations are carried out within the DIgSILENT PowerFactory 2016 software environment in order to analyse the plant response in case of network frequency contingencies, comparing the pure hydroelectric plant with the hybrid one, in which the primary reserve is partially or completely supplied by the storage system. Results confirm that the battery storage system response to frequency perturbations is clearly faster and more accurate during the transient phase compared to a traditional plant, since time delays due to hydraulic and mechanical regulations are overpassed. A case study, based on data from an existing hydropower plant and referring to the Italian context in terms of operational constraints and ancillary service remuneration, is presented.

  10. GEOEPIDERM – AN ECOLOGICAL CONCEPT THAT INTEGRATES SOIL COVER WITH ASSOCIATED LAND SURFACE COMPONENTS

    Directory of Open Access Journals (Sweden)

    I. Munteanu

    2008-10-01

    Full Text Available Based on the new concept of the “Epiderm of the Earth” introduced by the 2006 edition of the WRB-SR, the idea of “geoepiderm” has been developed. Besides its holistic meaning, by including both soil and non-soil materials found in the first 2 meters of the land surface, the term “geoepiderm” has a strong ecological sense, by suggesting similarity with the skin of the living organisms, as such, this concept is fully concordant with that of “Gaia” (Living Earth developed by James Lovelock. According to the main pedo-ecological characteristics of the soil and not soil coverings from the earth surface, ten kinds (classes of ‘geoepiderms” have been identified:1 – Protoderma (Entiderma– the primitive (emerging geoepiderm (mainly non-soil materials; five main subtypes: a Regoderma, b Leptoderma, c Areniderma, d Fluviderma and e Gleyoderma, were identified;2 – Cryoderma (Geliderma – geoepiderm of cold, mainly artic and subartic, regions with mean annual soil temperature <00C (often with perennial frozen subsoil - permafrost:3 – Arididerma – geoepiderm of arid regions and salt affected lands with limited or scarce available moisture; two subtypes: a Desertiderma, b Saliderma4 – Inceptiderma (or Juvenilederma – with 2 subtypes: a Cambiderma – a young (incipiently developed geoepiderm and b Andiderma, geoepiderm developed in volcanic materials;5 – Euderma – nutrient rich geoepiderm with two main subtypes: a Cherniderma (or Molliderma and b Luviderma (or Alfiderma;6 – Oligoderma – geoepiderm with low macro-nutrient and weatherable minerals content with 2 subtypes: a Podziderma (or Spodiderma and b Acriderma (or Ultiderma;7 – Ferriderma (Oxiderma or Senilederma – geoepiderm strongly weathered and with iron and aluminium hydroxides enrichment and low weatherable minerals reserve;8 – Vertiderma (Contractilederma – Contractile geoepiderm, developed from swelling clays;9 – Histoderma (Organiderma

  11. Integrating Science and Land Management for the Conservation Effects Assessment Project (CEAP) in Southwestern Rangelands

    Science.gov (United States)

    Goodrich, D. C.; Heilman, P.; Nearing, M.; Speath, K.; Hernandez, M.; Wei, H.; Holifield-Collins, C.; Kautz, M.; Nichols, M.; Barlow, J.; Guertin, P.; Burns, S.; Stone, J. J.; Weltz, M.; Metz, L.; Norfleet, L.; Duriancik, L.; Johnson, M.

    2013-12-01

    Farm Bill legislation enacted by Congress in 2002 directed the U.S. Department of Agriculture to assess of the benefits and efficacy of conservation practices provided by a variety of USDA programs. Benefits include improved agricultural production, reduction of erosion and associated nutrient losses, improved water quality, improved soil resilience, and improved habitat among others. To conduct the assessment, the USDA initiated CEAP or the Conservation Effects Assessment Project in 2003, which included a national assessment complemented by small watershed studies. The national assessment started in eastern and midwestern cultivated croplands and has now progressed to western rangelands. This presentation will discuss the challenges of assessing the effects of rangeland conservation practices in a period of unusually hot and dry climatic conditions in the Cienega Creek Watershed (CCW) located southeast of Tucson, Arizona. As is common in the western U.S., the CCW consists of a patchwork of private and public lands in the west with much of the public lands leased for grazing cattle. The watershed also has high recreational value and provides many ecosystem services, including wildlife habitat qualities and flood protection to Tucson. A combination of monitoring, modeling, and remote sensing was utilized in the assessment. Conservation spending in the watershed ramped up in 1997. However, the 16-year period from 1997-2012 contains almost half of the 23 driest seasons (lowest 20 percentile) from the 117-year observed precipitation record. Initial results indicate that Landsat remotely sensed images can be effectively used to estimate both green and senescent canopy cover. This enabled detection of the impacts of drought and changes in canopy cover from practices such as prescribed fire and mechanical brush removal. Cienega Creek Watershed - Land Ownership

  12. An Integrated Approach to Explore the Relationship Among Economic, Construction Land Use, and Ecology Subsystems in Zhejiang Province, China

    Directory of Open Access Journals (Sweden)

    Chuyu Xia

    2016-05-01

    Full Text Available Zhejiang Province, China is experiencing rapid urbanization, facing the challenge of coupling socioeconomic development and ecological conservation. This paper establishes a comprehensive index system to assess coordinating development of economic, construction land use (CLU, and ecology subsystems. A Granger test and a coupling coordination model were applied to explore the causal relationship and the coordinated development state among the three subsystems from 2000 to 2012. The results showed that: (1 changes in the integrated value of the economic subsystem were the Granger cause of changes in the ecology and CLU subsystems, and the changes in the integrated values of ecology and CLU was each other’s Granger cause; (2 the coupling coordination relationship of the integrated value for economic–CLU–ecology was constrained by the relationship between the economic and the CLU subsystems from 2000 to 2004, and that between the ecology and the economic subsystems was the impediment of the sustainable development of economic–CLU–ecology from 2004 to 2012. This research helps to identify approach to sustainable development through analyzing synergistic effects, interdependencies, and trade-offs among the integrated economic–CLU–ecology values, and to make significant contribution to urban planning policies in rapid urbanization region.

  13. Toward a Unified Integration Approach: Uniting Diverse Primary Care Strategies Under the Primary Care Behavioral Health (PCBH) Model.

    Science.gov (United States)

    Sandoval, Brian E; Bell, Jennifer; Khatri, Parinda; Robinson, Patricia J

    2017-12-12

    Primary care continues to be at the center of health care transformation. The Primary Care Behavioral Health (PCBH) model of service delivery includes patient-centered care delivery strategies that can improve clinical outcomes, cost, and patient and primary care provider satisfaction with services. This article reviews the link between the PCBH model of service delivery and health care services quality improvement, and provides guidance for initiating PCBH model clinical pathways for patients facing depression, chronic pain, alcohol misuse, obesity, insomnia, and social barriers to health.

  14. Integrated working between residential care homes and primary care: a survey of care homes in England

    Directory of Open Access Journals (Sweden)

    Gage Heather

    2012-11-01

    Full Text Available Abstract Background Older people living in care homes in England have complex health needs due to a range of medical conditions, mental health needs and frailty. Despite an increasing policy expectation that professionals should operate in an integrated way across organisational boundaries, there is a lack of understanding between care homes and the National Health Service (NHS about how the two sectors should work together, meaning that residents can experience a poor "fit" between their needs, and services they can access. This paper describes a survey to establish the current extent of integrated working that exists between care homes and primary and community health and social services. Methods A self-completion, online questionnaire was designed by the research team. Items on the different dimensions of integration (funding, administrative, organisational, service delivery, clinical care were included. The survey was sent to a random sample of residential care homes with more than 25 beds (n = 621 in England in 2009. Responses were analysed using quantitative and qualitative methods. Results The survey achieved an overall response rate of 15.8%. Most care homes (78.7% worked with more than one general practice. Respondents indicated that a mean of 14.1 professionals/ services (other than GPs had visited the care homes in the last six months (SD 5.11, median 14; a mean of .39 (SD.163 professionals/services per bed. The most frequent services visiting were district nursing, chiropody and community psychiatric nurses. Many (60% managers considered that they worked with the NHS in an integrated way, including sharing documents, engaging in integrated care planning and joint learning and training. However, some care home managers cited working practices dictated by NHS methods of service delivery and priorities for care, rather than those of the care home or residents, a lack of willingness by NHS professionals to share information, and low

  15. Spatio-temporal variations in climate, primary productivity and efficiency of water and carbon use of the land cover types in Sudan and Ethiopia.

    Science.gov (United States)

    Khalifa, Muhammad; Elagib, Nadir Ahmed; Ribbe, Lars; Schneider, Karl

    2018-05-15

    The impact of climate variability on the Net Primary Productivity (NPP) of different land cover types and the reaction of NPP to drought conditions are still unclear, especially in Sub-Saharan Africa. This research utilizes public-domain data for the period 2000 through 2013 to analyze these aspects for several land cover types in Sudan and Ethiopia, as examples of data-scarce countries. Spatio-temporal variation in NPP, water use efficiency (WUE) and carbon use efficiency (CUE) for several land covers were correlated with variations in precipitation, temperature and drought at different time scales, i.e. 1, 3, 6 and 12months using Standardized Precipitation Evapotranspiration Index (SPEI) datasets. WUE and CUE were estimated as the ratios of NPP to actual evapotranspiration and NPP to Gross Primary Productivity (GPP), respectively. Results of this study revealed that NPP, WUE and CUE of the different land cover types in Ethiopia have higher magnitudes than their counterparts in Sudan. Moreover, they exhibit higher sensitivity to drought and variation in precipitation. Whereas savannah represents the most sensitive land cover to drought, croplands and permanent wetlands are the least sensitive ones. The inter-annual variation in NPP, WUE and CUE in Ethiopia is likely to be driven by a drought of time scale of three months. No statistically significant correlation was found for Sudan between the inter-annual variations in these indicators with drought at any of the time scales considered in the study. Our findings are useful from the view point of both food security for a growing population and mitigation to climate change as discussed in the present study. Copyright © 2017 Elsevier B.V. All rights reserved.

  16. [Ethical problems experienced by nurses in primary health care: integrative literature review].

    Science.gov (United States)

    Nora, Carlise Rigon Dalla; Zoboli, Elma Lourdes Campos Pavone; Vieira, Margarida

    2015-03-01

    The aim of this study is to identify ethical problems experienced by nurses in primary health care and resources for coping based on publications on the subject. An integrative literature review was performed between the months of October and November 2013, using the databases: BDTD, CINAHL, LILACS, MEDLINE, Biblioteca Cochrane, PubMed, RCAAP and SciELO. Articles, dissertations and theses published in Portuguese, English and Spanish were included, totalling 31 studies published from 1992 to 2013. This analysis resulted in four categories: ethical problems in the relationship between team members, ethical problems in the relationship with the user, ethical problems in health services management and resources for coping with ethical problems. Results showed that nurses need to be prepared to face ethical problems, emphasizing the importance of ethics education during the education process before and during professional practice to enhance the development of ethical sensitivity and competence for problem resolution.

  17. Ethical problems experienced by nurses in primary health care: integrative literature review

    Directory of Open Access Journals (Sweden)

    Carlise Rigon Dalla Nora

    Full Text Available The aim of this study is to identify ethical problems experienced by nurses in primary health care and resources for coping based on publications on the subject. An integrative literature review was performed between the months of October and November 2013, using the databases: BDTD, CINAHL, LILACS, MEDLINE, Biblioteca Cochrane, PubMed, RCAAP and SciELO. Articles, dissertations and theses published in Portuguese, English and Spanish were included, totalling 31 studies published from 1992 to 2013. This analysis resulted in four categories: ethical problems in the relationship between team members, ethical problems in the relationship with the user, ethical problems in health services management and resources for coping with ethical problems. Results showed that nurses need to be prepared to face ethical problems, emphasizing the importance of ethics education during the education process before and during professional practice to enhance the development of ethical sensitivity and competence for problem resolution.

  18. An integrated multi-criteria scenario evaluation web tool for participatory land-use planning in urbanized areas: The Ecosystem Portfolio Model

    Science.gov (United States)

    Labiosa, Bill; Forney, William M.; Hearn,, Paul P.; Hogan, Dianna M.; Strong, David R.; Swain, Eric D.; Esnard, Ann-Margaret; Mitsova-Boneva, D.; Bernknopf, R.; Pearlstine, Leonard; Gladwin, Hugh

    2013-01-01

    Land-use land-cover change is one of the most important and direct drivers of changes in ecosystem functions and services. Given the complexity of the decision-making, there is a need for Internet-based decision support systems with scenario evaluation capabilities to help planners, resource managers and communities visualize, compare and consider trade-offs among the many values at stake in land use planning. This article presents details on an Ecosystem Portfolio Model (EPM) prototype that integrates ecological, socio-economic information and associated values of relevance to decision-makers and stakeholders. The EPM uses a multi-criteria scenario evaluation framework, Geographic Information Systems (GIS) analysis and spatially-explicit land-use/land-cover change-sensitive models to characterize changes in important land-cover related ecosystem values related to ecosystem services and functions, land parcel prices, and community quality-of-life (QoL) metrics. Parameters in the underlying models can be modified through the interface, allowing users in a facilitated group setting to explore simultaneously issues of scientific uncertainty and divergence in the preferences of stakeholders. One application of the South Florida EPM prototype reported in this article shows the modeled changes (which are significant) in aggregate ecological value, landscape patterns and fragmentation, biodiversity potential and ecological restoration potential for current land uses compared to the 2050 land-use scenario. Ongoing refinements to EPM, and future work especially in regard to modifiable sea level rise scenarios are also discussed.

  19. Integrating HIV care and treatment into primary healthcare: Are clinics equipped?

    Directory of Open Access Journals (Sweden)

    Talitha Crowley

    2014-01-01

    Full Text Available Background: The demand for HIV care and treatment services is increasing rapidly and strategies to sustain long-term care should be employed. The decentralisation and integration of HIV care and treatment services into primary healthcare (PHC is vitally important in order to ensure optimal access to life-saving antiretroviral therapy and ongoing chronic care. Conversely, the PHC system is fraught with the current burden of disease. Setting: The study was conducted in PHC clinics in the uMgungundlovu district, Kwa-Zulu Natal.Aim: The objectives of the study were to assess whether PHC clinics were equipped to deliver integrated HIV services and to evaluate the availability of resources as well as support systems for HIV care and treatment in PHC clinics.Methods: A quantitative, cross-sectional descriptive study was undertaken in 20 randomly-selected, eligible clinics in the uMgungundlovu district, KwaZulu-Natal, South Africa. An evaluation instrument was completed through observations and review of the clinic data records. Criteria were based on the World Health Organization’s guide to indicators for antiretroviral programmes as well as South African HIV standards for PHC facilities.Results: None of the clinics were equipped adequately. Clinics with a higher patient load had poorer scores, whilst clinics providing antiretroviral therapy were better equipped in terms of human resources and infrastructure.Conclusion: HIV services are an essential part of primary healthcare and clinics need to be equipped adequately in order to render this service. It is unlikely that the over-burdened health system would be able to cope with an increased number of patients on antiretroviral therapy in the long term, whilst maintaining quality of services, without support being given to PHC clinics.

  20. Integrating HIV care and treatment into primary healthcare: Are clinics equipped?

    Directory of Open Access Journals (Sweden)

    Talitha Crowley

    2014-08-01

    Full Text Available Background: The demand for HIV care and treatment services is increasing rapidly and strategies to sustain long-term care should be employed. The decentralisation and integration of HIV care and treatment services into primary healthcare (PHC is vitally important in order to ensure optimal access to life-saving antiretroviral therapy and ongoing chronic care. Conversely, the PHC system is fraught with the current burden of disease. Setting: The study was conducted in PHC clinics in the uMgungundlovu district, Kwa-Zulu Natal. Aim: The objectives of the study were to assess whether PHC clinics were equipped to deliver integrated HIV services and to evaluate the availability of resources as well as support systems for HIV care and treatment in PHC clinics. Methods: A quantitative, cross-sectional descriptive study was undertaken in 20 randomly-selected, eligible clinics in the uMgungundlovu district, KwaZulu-Natal, South Africa. An evaluation instrument was completed through observations and review of the clinic data records. Criteria were based on the World Health Organization’s guide to indicators for antiretroviral programmes as well as South African HIV standards for PHC facilities. Results: None of the clinics were equipped adequately. Clinics with a higher patient load had poorer scores, whilst clinics providing antiretroviral therapy were better equipped in terms of human resources and infrastructure. Conclusion: HIV services are an essential part of primary healthcare and clinics need to be equipped adequately in order to render this service. It is unlikely that the over-burdened health system would be able to cope with an increased number of patients on antiretroviral therapy in the long term, whilst maintaining quality of services, without support being given to PHC clinics.

  1. Investigation of primary-to-secondary leakage accident on the PSB-VVER integral test facility

    International Nuclear Information System (INIS)

    Lipatov, I.A.; Dremin, G.I.; Galtchanskaya, S.A.; Chmal, I.I.; Moloshnikov, A.S.; Gorbunov, Y.S.; Antonova, A.I.; Elkin, I.V.

    2001-01-01

    The full text follows. The paper presents the main results from the test on primary-to-secondary leakage of 100 mm in equivalent diameter. The test was performed on the PSB-VVER integral test facility. PSB-VVER is a 4-loops scaled down model of primary system of NPP with VVER-1000 Russian type reactor. Volume - power scale is about 1/300 while elevation scale is 1/1. All components of the primary system of the reference NPP are modeled on PSB-VVER. Both passive (accumulators) and active (high and low pressure) ECCSs, pressurizer spray and relief circuits, feed water system and atmospheric dumping system (ADS) as well as the primary circuit gas remove emergency system are also simulated. The primary-to-secondary leakage was simulated using an external break line which connects the upper part of the hot header to SG water volume. The break line included a break nozzle (a cylindrical channel d = 5.8 mm, l/d = 10 with sharp inlet edge), quick-acting valve and two-phase mass flow rate measurement system. In addition loss of off-site power at the moment when a scram-signal is generated was assumed in the experiment. Thus the accident is to be considered as a beyond-design-basic one. The loss of off-site power results in the following: -main circulation pump shutdown; -pressurizer heaters switching off; -HPIS water cooling flow rate and number of points of water injection are reduced The study focuses on the adequacy of the associated accident management (AM) procedure developed by EDO ''GIDROPRESS'' as a General Designer of VVER-type reactors. The AM-procedure was adopted to the PSB-VVER test facility conditions using CATHARE (France) and DINAMIKA (Russia) codes analysis. The AM-procedure in PSB-VVER is as follows: after about 30 min of the onset of the accident, when the accident type and the localization of the SG affected become evident for the operator, he closes all the main steam isolation valves, inhibits the ADS actuation in the affected SG and begins to remove

  2. Investigation of primary-to-secondary leakage accident on the PSB-VVER integral test facility

    Energy Technology Data Exchange (ETDEWEB)

    Lipatov, I.A.; Dremin, G.I.; Galtchanskaya, S.A.; Chmal, I.I.; Moloshnikov, A.S.; Gorbunov, Y.S.; Antonova, A.I. [Electrogorsk Research and Engineering Center, EREC, Moscow (Russian Federation); Elkin, I.V. [RRC ' ' Kurchatov Institute, Moscow (Russian Federation)

    2001-07-01

    The full text follows. The paper presents the main results from the test on primary-to-secondary leakage of 100 mm in equivalent diameter. The test was performed on the PSB-VVER integral test facility. PSB-VVER is a 4-loops scaled down model of primary system of NPP with VVER-1000 Russian type reactor. Volume - power scale is about 1/300 while elevation scale is 1/1. All components of the primary system of the reference NPP are modeled on PSB-VVER. Both passive (accumulators) and active (high and low pressure) ECCSs, pressurizer spray and relief circuits, feed water system and atmospheric dumping system (ADS) as well as the primary circuit gas remove emergency system are also simulated. The primary-to-secondary leakage was simulated using an external break line which connects the upper part of the hot header to SG water volume. The break line included a break nozzle (a cylindrical channel d = 5.8 mm, l/d = 10 with sharp inlet edge), quick-acting valve and two-phase mass flow rate measurement system. In addition loss of off-site power at the moment when a scram-signal is generated was assumed in the experiment. Thus the accident is to be considered as a beyond-design-basic one. The loss of off-site power results in the following: -main circulation pump shutdown; -pressurizer heaters switching off; -HPIS water cooling flow rate and number of points of water injection are reduced The study focuses on the adequacy of the associated accident management (AM) procedure developed by EDO ''GIDROPRESS'' as a General Designer of VVER-type reactors. The AM-procedure was adopted to the PSB-VVER test facility conditions using CATHARE (France) and DINAMIKA (Russia) codes analysis. The AM-procedure in PSB-VVER is as follows: after about 30 min of the onset of the accident, when the accident type and the localization of the SG affected become evident for the operator, he closes all the main steam isolation valves, inhibits the ADS actuation in the affected SG

  3. Managing externally financed projects: the Integrated Primary Health Care Project in Bolivia.

    Science.gov (United States)

    Homedes, N

    2001-12-01

    Bolivia is one of the poorest countries in Latin America. Health indicators are very poor, communicable diseases are prevalent and, coupled with malnutrition, remain the major killers of children under 5 years old. The Integrated Primary Health Care Project (PROISS) was a US$39 million project executed by the Ministry of Health (MOH), 50% financed by the World Bank and aimed at improving primary health care in the four largest Bolivian municipalities. The implementation of the project started in 1990 and ended in 1997. During implementation it went through three distinct phases: Phase 1 (1990-94) was a period characterized by conflict and confusion; Phase 2 (1995-mid-1996) documented major improvements in coverage and service quality; and Phase 3 (mid-1996-97) witnessed the decline of the project. This paper explores the factors that contributed to the success and the decline of the project, draws lessons for project managers and international agencies involved in the definition and implementation of social sector projects, and discusses the unlikelihood that externally financed projects can have a sustainable impact on the development of the health sector of recipient countries.

  4. Downscaling global land cover projections from an integrated assessment model for use in regional analyses: results and evaluation for the US from 2005 to 2095

    International Nuclear Information System (INIS)

    West, Tristram O; Le Page, Yannick; Wolf, Julie; Thomson, Allison M; Huang, Maoyi

    2014-01-01

    Projections of land cover change generated from integrated assessment models (IAM) and other economic-based models can be applied for analyses of environmental impacts at sub-regional and landscape scales. For those IAM and economic models that project land cover change at the continental or regional scale, these projections must be downscaled and spatially distributed prior to use in climate or ecosystem models. Downscaling efforts to date have been conducted at the national extent with relatively high spatial resolution (30 m) and at the global extent with relatively coarse spatial resolution (0.5°). We revised existing methods to downscale global land cover change projections for the US to 0.05° resolution using MODIS land cover data as the initial proxy for land class distribution. Land cover change realizations generated here represent a reference scenario and two emissions mitigation pathways (MPs) generated by the global change assessment model (GCAM). Future gridded land cover realizations are constructed for each MODIS plant functional type (PFT) from 2005 to 2095, commensurate with the community land model PFT land classes, and archived for public use. The GCAM land cover realizations provide spatially explicit estimates of potential shifts in croplands, grasslands, shrublands, and forest lands. Downscaling of the MPs indicate a net replacement of grassland by cropland in the western US and by forest in the eastern US. An evaluation of the downscaling method indicates that it is able to reproduce recent changes in cropland and grassland distributions in respective areas in the US, suggesting it could provide relevant insights into the potential impacts of socio-economic and environmental drivers on future changes in land cover. (letters)

  5. Food from dry lands. An integrated approach to planning of agricultural development.

    NARCIS (Netherlands)

    Alberda, Th.; Keulen, van H.; Seligman, N.G.; Wit, de C.T.

    1992-01-01

    This book centers around an analysis of the options for the agronomic development of semiarid regions with winter rains (i.e. Mediterranian regions). Crop and sheep husbandry systems were designed and integrated into agro-pastoral systems in which small-grain crops act as a buffer for feed

  6. Disciplining Change, Displacing Frictions. Two Structural Dimensions of Digital Circulation Across Land Registry Database Integration

    NARCIS (Netherlands)

    Pelizza, Annalisa

    2016-01-01

    Data acquire meaning through circulation. Yet most approaches to high-quality data aim to flatten this stratification of meanings. In government, data quality is achieved through integrated systems of authentic registers that reduce multiple trajectories to a single, official one. These systems can

  7. Integrating Behavioral Health into Pediatric Primary Care: Implications for Provider Time and Cost.

    Science.gov (United States)

    Gouge, Natasha; Polaha, Jodi; Rogers, Rachel; Harden, Amy

    2016-12-01

    Integrating a behavioral health consultant (BHC) into primary care is associated with improved patient outcomes, fewer medical visits, and increased provider satisfaction; however, few studies have evaluated the feasibility of this model from an operations perspective. Specifically, time and cost have been identified as barriers to implementation. Our study aimed to examine time spent, patient volume, and revenue generated during days when the on-site BHC was available compared with days when the consultant was not. Data were collected across a 10-day period when a BHC provided services and 10 days when she was not available. Data included time stamps of patient direct care; providers' direct reports of problems raised; and a review of medical and administrative records, including billing codes and reimbursement. This study took place in a rural, stand-alone private pediatric primary care practice. The participants were five pediatric primary care providers (PCPs; two doctors of medicine, 1 doctor of osteopathy, 2 nurse practitioners) and two supervised doctoral students in psychology (BHCs). Pediatric patients (N = 668) and their parents also participated. On days when a BHC was present, medical providers spent 2 fewer minutes on average for every patient seen, saw 42% more patients, and collected $1142 more revenue than on days when no consultant was present. The time savings demonstrated on days when the consultant was available point to the efficiency and potential financial viability of this model. These results have important implications for the feasibility of hiring behavioral health professionals in a fee-for-service system. They have equally useful implications for the utility of moving to a bundled system of care in which collaborative practice is valued.

  8. Integrated Transcriptomic and Epigenomic Analysis of Primary Human Lung Epithelial Cell Differentiation

    Science.gov (United States)

    Marconett, Crystal N.; Zhou, Beiyun; Rieger, Megan E.; Selamat, Suhaida A.; Dubourd, Mickael; Fang, Xiaohui; Lynch, Sean K.; Stueve, Theresa Ryan; Siegmund, Kimberly D.; Berman, Benjamin P.

    2013-01-01

    Elucidation of the epigenetic basis for cell-type specific gene regulation is key to gaining a full understanding of how the distinct phenotypes of differentiated cells are achieved and maintained. Here we examined how epigenetic changes are integrated with transcriptional activation to determine cell phenotype during differentiation. We performed epigenomic profiling in conjunction with transcriptomic profiling using in vitro differentiation of human primary alveolar epithelial cells (AEC). This model recapitulates an in vivo process in which AEC transition from one differentiated cell type to another during regeneration following lung injury. Interrogation of histone marks over time revealed enrichment of specific transcription factor binding motifs within regions of changing chromatin structure. Cross-referencing of these motifs with pathways showing transcriptional changes revealed known regulatory pathways of distal alveolar differentiation, such as the WNT and transforming growth factor beta (TGFB) pathways, and putative novel regulators of adult AEC differentiation including hepatocyte nuclear factor 4 alpha (HNF4A), and the retinoid X receptor (RXR) signaling pathways. Inhibition of the RXR pathway confirmed its functional relevance for alveolar differentiation. Our incorporation of epigenetic data allowed specific identification of transcription factors that are potential direct upstream regulators of the differentiation process, demonstrating the power of this approach. Integration of epigenomic data with transcriptomic profiling has broad application for the identification of regulatory pathways in other models of differentiation. PMID:23818859

  9. An Enhanced Error Model for EKF-Based Tightly-Coupled Integration of GPS and Land Vehicle's Motion Sensors.

    Science.gov (United States)

    Karamat, Tashfeen B; Atia, Mohamed M; Noureldin, Aboelmagd

    2015-09-22

    Reduced inertial sensor systems (RISS) have been introduced by many researchers as a low-cost, low-complexity sensor assembly that can be integrated with GPS to provide a robust integrated navigation system for land vehicles. In earlier works, the developed error models were simplified based on the assumption that the vehicle is mostly moving on a flat horizontal plane. Another limitation is the simplified estimation of the horizontal tilt angles, which is based on simple averaging of the accelerometers' measurements without modelling their errors or tilt angle errors. In this paper, a new error model is developed for RISS that accounts for the effect of tilt angle errors and the accelerometer's errors. Additionally, it also includes important terms in the system dynamic error model, which were ignored during the linearization process in earlier works. An augmented extended Kalman filter (EKF) is designed to incorporate tilt angle errors and transversal accelerometer errors. The new error model and the augmented EKF design are developed in a tightly-coupled RISS/GPS integrated navigation system. The proposed system was tested on real trajectories' data under degraded GPS environments, and the results were compared to earlier works on RISS/GPS systems. The findings demonstrated that the proposed enhanced system introduced significant improvements in navigational performance.

  10. Implementing integrated services for people with epilepsy in primary care in Ethiopia: a qualitative study.

    Science.gov (United States)

    Catalao, Raquel; Eshetu, Tigist; Tsigebrhan, Ruth; Medhin, Girmay; Fekadu, Abebaw; Hanlon, Charlotte

    2018-05-21

    In order to tackle the considerable treatment gap for epilepsy in many low- and middle-income countries (LMICs), a task sharing model is recommended whereby care is integrated into primary health services. However, there are limited data on implementation and impact of such services in LMICs. Our study aimed to explore the perspectives of service users and caregivers on the accessibility, experience and perceived impact of epilepsy treatment received in a task-shared model in a rural district of Ethiopia. A qualitative study was carried out using interviews with purposively sampled service users (n = 13) and caregivers (n = 3) from a community-ascertained cohort of people with epilepsy receiving integrated services in primary care in rural Ethiopia. Interviews followed a topic guide with questions regarding acceptability, satisfaction, barriers to access care, pathways through care and impact of services. Framework analysis was employed to analyse the data. Proximity of the new service in local primary health centers decreased the cost of transportation for the majority of service users thus improving access to services. First-hand experience of services was in some cases associated with a willingness to promote the services and inform others of the existence of effective biomedical treatment for epilepsy. However, most service users and their caregivers continued to seek help from traditional healers alongside biomedical care. Most of the care received was focused on medication provision with limited information provided on how to manage their illness and its effects. Caregivers and service users spoke about the high emotional and financial burden of the disease and lack of ongoing practical and emotional support. The majority of participants reported clinical improvement on medication, which in over half of the participants was associated with ability to return to money generating activities. Task-sharing improved the accessibility of epilepsy care for

  11. Synthesis of integrated primary production in the Arctic Ocean: II. In situ and remotely sensed estimates

    Science.gov (United States)

    Hill, Victoria J.; Matrai, Patricia A.; Olson, Elise; Suttles, S.; Steele, Mike; Codispoti, L. A.; Zimmerman, Richard C.

    2013-03-01

    Recent warming of surface waters, accompanied by reduced ice thickness and extent may have significant consequences for climate-driven changes of primary production (PP) in the Arctic Ocean (AO). However, it has been difficult to obtain a robust benchmark estimate of pan-Arctic PP necessary for evaluating change. This paper provides an estimate of pan-Arctic PP prior to significant warming from a synthetic analysis of the ARCSS-PP database of in situ measurements collected from 1954 to 2007 and estimates derived from satellite-based observations from 1998 to 2007. Vertical profiles of in situ chlorophyll a (Chl a) and PP revealed persistent subsurface peaks in biomass and PP throughout the AO during most of the summer period. This was contradictory with the commonly assumed exponential decrease in PP with depth on which prior satellite-derived estimates were based. As remotely sensed Chl a was not a good predictor of integrated water column Chl a, accurate satellite-based modeling of vertically integrated primary production (IPPsat), requires knowledge of the subsurface distribution of phytoplankton, coincident with the remotely sensed ocean color measurements. We developed an alternative approach to modeling PP from satellite observations by incorporating climatological information on the depths of the euphotic zone and the mixed layer that control the distribution of phytoplankton that significantly improved the fidelity of satellite derived PP to in situ observations. The annual IPP of the Arctic Ocean combining both in situ and satellite based estimates was calculated here to be a minimum of 466 ± 94 Tg C yr-1 and a maximum of 993 ± 94 Tg C yr-1, when corrected for subsurface production. Inflow shelf seas account for 75% of annual IPP, while the central basin and Beaufort northern sea were the regions with the lowest annual integrated productivity, due to persistently stratified, oligotrophic and ice-covered conditions. Although the expansion of summertime

  12. General practitioners: Between integration and co-location. The case of primary care centers in Tuscany, Italy.

    Science.gov (United States)

    Barsanti, Sara; Bonciani, Manila

    2018-01-01

    Healthcare systems have followed several strategies aimed at integrating primary care services and professionals. Medical homes in the USA and Canada, and primary care centres across Europe have collocated general practitioners and other health and social professionals in the same building in order to boost coordination among services and the continuity of care for patients. However, in the literature, the impact of co-location on primary care has led to controversial results. This article analyses the possible benefits of the co-location of services in primary care focusing on the Italian model of primary care centres (Case della Salute) in terms of general practitioners' perception. We used the results of a web survey of general practitioners in Tuscany to compare the experiences and satisfaction of those general practitioners involved and not involved in a primary care centre, performed a MONAVA and ANOVA analysis. Our case study highlights the positive impact of co-location on the integration of professionals, especially with nurses and social workers, and on organizational integration, in terms of frequency of meeting to discuss about quality of care. Conversely, no significant differences were found in terms of either clinical or system integration. Furthermore, the collaboration with specialists is still weak. Considering the general practitioners' perspective in terms of experience and satisfaction towards primary care, co-location strategies is a necessary step in order to facilitate the collaboration among professionals and to prevent unintended consequences in terms of an even possible isolation of primary care as an involuntary 'disintegration of the integration'.

  13. Producing an integrated climate-land-energy-water (CLEW) model for glaciated regions in the developing world

    Science.gov (United States)

    Delman, E. M.; Thomas, B. F.; Famiglietti, J. S.

    2013-12-01

    Growing concern over the impact of climate change on global freshwater resources has spurred a demand for practical, basin-specific adaptation tools. The potential for water stress is particularly inflated in the glaciated watersheds of the developing world; widespread and rapid glacial retreat has forced regional resource managers to reconcile the reality of a diminishing supply with an overall increase in demand, while accounting for the underlying geopolitical and cultural context. An integrated approach, such as the development of a Climate-Land-Energy-Water (CLEW) model that examines relationships among climate, land-use, and the energy and water sectors, can be used to assess the impact of different climate change scenarios on basin sustainability and vulnerability. This study will first constrain the hydrologic budget in the Río Santa Watershed of Peru using satellite imagery, historical and contemporary stream discharge data, hydrologic modeling, climatic data analysis, and isotopic and chemical tracers. Ultimately, glacier retreat will be examined at the watershed scale and be used as an input in the CLEW model framework to assess hydrologic budget scenarios and the subsequent impact on regional economic and environmental sustainability.

  14. Assessing land cover performance in Senegal, West Africa using 1-km integrated NDVI and local variance analysis

    Science.gov (United States)

    Budde, M.E.; Tappan, G.; Rowland, James; Lewis, J.; Tieszen, L.L.

    2004-01-01

    The researchers calculated seasonal integrated normalized difference vegetation index (NDVI) for each of 7 years using a time-series of 1-km data from the Advanced Very High Resolution Radiometer (AVHRR) (1992-93, 1995) and SPOT Vegetation (1998-2001) sensors. We used a local variance technique to identify each pixel as normal or either positively or negatively anomalous when compared to its surroundings. We then summarized the number of years that a given pixel was identified as an anomaly. The resulting anomaly maps were analysed using Landsat TM imagery and extensive ground knowledge to assess the results. This technique identified anomalies that can be linked to numerous anthropogenic impacts including agricultural and urban expansion, maintenance of protected areas and increased fallow. Local variance analysis is a reliable method for assessing vegetation degradation resulting from human pressures or increased land productivity from natural resource management practices. ?? 2004 Published by Elsevier Ltd.

  15. Agroparks - The European Landscape Convention and a European way to regional sustainable landscape development through land use integration

    DEFF Research Database (Denmark)

    Christensen, Andreas Aagaard; Svennningsen, Stig R.; Brandt, Jesper

    2011-01-01

    areas of Europe, in which environmental management increasingly conforms to the principles of liberal economy. Based on a national study of privately owned largeholder manorial estates in Denmark including a detailed case study conducted in one of the survey areas, we conclude that transition...... to landscape sustainability is held back by two main inhibitors, which currently makes it a necessity for rural agency to act unsustainably: (1) The global liberalized legal system which supports individual private ownership to land and thus restrains large scale decision making at a spatial scale to match...... of production activities. These landscapes integrate nature protection, agriculture, settlement and recreation in complex structures of management. They could serve as an example for future sustainable landscape planning at a larger scale, supported by regional regulation. The European Landscape Convention (ELC...

  16. Integrated water resource management, institutional arrangements, and land-use planning

    OpenAIRE

    Bruce Mitchell

    2005-01-01

    A systems, holistic, or ecosystem approach is often advocated for water management, and has led to the emergence of integrated water resource management, or IWRM. Such an approach can be interpreted as ‘comprehensive’ or ‘integrated’, and analysts, planners, and managers need to understand the difference. Edge or boundary problems always are encountered when applying a holistic approach, and design of institutional arrangements cannot eliminate these problems but can minimize them. IWRM often...

  17. 'ILRT' integrated leak reason test of the primary restraint of the reactor

    International Nuclear Information System (INIS)

    Herrera C, G.

    2006-01-01

    To obtain the operation licenses of the Units 1 and 2 of the Laguna Verde Nucleo electric plant, its were required to fulfill certain license points, inside which is the one of limiting capable and dependably the displacement of radioactive materials to the environment, later to a postulated event of lost of coolant ('LOCA' by its initials in english), accident basis of design, so that the doses outside of place, be smaller to the established ones in the chapter 10 of the Code of Federal Regulations of United States of America Part 100 (10CFR100), to be the supplying country of the reactor. The design of the container uses the characteristics of Dry Well and Pressure Suppression pool in the concept of Contention BWR-Mark II. In the event of being presented a 'LOCA', the flight to the exterior of the primary container will be limited to a global flight reason integrated smaller or similar to 0.5 percent in weight of the air of the contention for every 24 hours to an accident pressure, similar to 2.6 Kg/cm 2 (37.0 psig), as they indicate it the Technical Specifications of Operation of the CLV, based on the context of the Option B of the Appendix J on the 10CFR50. For this end, its will be known parameters such as: pressure, temperature and volume, making necessary then the use of additional sensors for monitoring these parameters and by means of the ideal gases equation, to calculate the punctual mass in that instant contained inside the primary contention. The pressure of the primary contention is taken to accident pressure by means of a compressors train. The information of the sensors is channeled to a computer system which will calculate, starting from a time zero and pressure of accident of 37 psig (tight), the punctual mass of the primary contention in a lapse of 24 hs, with that which through the one time and by means of mathematical calculations, we will know the mass percentage escaping through the same one, that which will fulfill that indicated in the

  18. Monitoring land and water uses in the Columbia Plateau using remote-sensing computer analysis and integration techniques

    International Nuclear Information System (INIS)

    Leonhart, L.S.; Wukelic, G.E.; Foote, H.P.; Blair, S.C.

    1983-09-01

    This study successfully utilized advanced, remote-sensing computer-analysis techniques to quantify and map land- and water-use trends potentially relevant to siting, developing, and operating a high-level national, nuclear waste repository on the US Department of Energy's Hanford Site in eastern Washington State. Specifically, using a variety of digital data bases (primarily multidate LANDSAT data) and digital analysis programs, the study produced unique numerical data and integrated data reference maps relevant to regional (Columbia Plateau) and localized (Pasco Basin) hydrologic considerations associated with developing such a facility. Because all study data developed are in digital form, they can be called upon to contribute to future reference repository location monitoring and reporting efforts, as well as to be utilized in other US Department of Energy programmatic areas having technical and/or environmental interest in the Columbia Plateau region. The results obtained indicate that multidate digital LANDSAT data provide an inexpensive, up-to-date, and accurate data base and reference map of natural and cultural features existing in any region. These data can be (1) computer enhanced to highlight selected surface features of interest; (2) processed/analyzed to provide regional land cover/use information and trend data; and (3) combined with other line and point data files to accommodate interactive, correlative analyses and integrated colorgraphic displays to aid interpretation and modeling efforts. Once the digital base is established, selected site information can be assessed immediately, various forms of data can be accessed concurrently or separately, and data sets may be displayed or mapped at any scale. Available editing software provides the opportunity to generate credible scenarios for a site while preserving the actual data base. 6 references

  19. Vertical land motion along the coast of Louisiana: Integrating satellite altimetry, tide gauge and GPS

    Science.gov (United States)

    Dixon, T. H.; A Karegar, M.; Uebbing, B.; Kusche, J.; Fenoglio-Marc, L.

    2017-12-01

    Coastal Louisiana is experiencing the highest rate of relative sea-level rise in North America due to the combination of sea-level rise and subsidence of the deltaic plain. The land subsidence in this region is studied using various techniques, with continuous GPS site providing high temporal resolution. Here, we use high resolution tide-gauge data and advanced processing of satellite altimetry to derive vertical displacements time series at NOAA tide-gauge stations along the coast (Figure 1). We apply state-of-the-art retracking techniques to process raw altimetry data, allowing high accuracy on range measurements close to the coast. Data from Jason-1, -2 and -3, Envisat, Saral and Cryosat-2 are used, corrected for solid Earth tide, pole tide and tidal ocean loading, using background models consistent with the GPS processing technique. We reprocess the available GPS data using precise point positioning and estimate the rate uncertainty accounting for correlated noise. The displacement time series are derived by directly subtracting tide-gauge data from the altimetry sea-level anomaly data. The quality of the derived displacement rates is evaluated in Grand Isle, Amerada Pass and Shell Beach where GPS data are available adjacent to the tide gauges. We use this technique to infer vertical displacement at tide gauges in New Orleans (New Canal Station) and Port Fourchon and Southwest Pass along the coastline.

  20. Geodiametris: an integrated geoinformatic approach for monitoring land pollution from the disposal of olive oil mill wastes

    Science.gov (United States)

    Alexakis, Dimitrios D.; Sarris, Apostolos; Papadopoulos, Nikos; Soupios, Pantelis; Doula, Maria; Cavvadias, Victor

    2014-08-01

    The olive-oil industry is one of the most important sectors of agricultural production in Greece, which is the third in olive-oil production country worldwide. Olive oil mill wastes (OOMW) constitute a major factor in pollution in olivegrowing regions and an important problem to be solved for the agricultural industry. The olive-oil mill wastes are normally deposited at tanks, or directly in the soil or even on adjacent torrents, rivers and lakes posing a high risk to the environmental pollution and the community health. GEODIAMETRIS project aspires to develop integrated geoinformatic methodologies for performing monitoring of land pollution from the disposal of OOMW in the island of Crete -Greece. These methodologies integrate GPS surveys, satellite remote sensing and risk assessment analysis in GIS environment, application of in situ and laboratory geophysical methodologies as well as soil and water physicochemical analysis. Concerning project's preliminary results, all the operating OOMW areas located in Crete have been already registered through extensive GPS field campaigns. Their spatial and attribute information has been stored in an integrated GIS database and an overall OOMW spectral signature database has been constructed through the analysis of multi-temporal Landsat-8 OLI satellite images. In addition, a specific OOMW area located in Alikianos village (Chania-Crete) has been selected as one of the main case study areas. Various geophysical methodologies, such as Electrical Resistivity Tomography, Induced Polarization, multifrequency electromagnetic, Self Potential measurements and Ground Penetrating Radar have been already implemented. Soil as well as liquid samples have been collected for performing physico-chemical analysis. The preliminary results have already contributed to the gradual development of an integrated environmental monitoring tool for studying and understanding environmental degradation from the disposal of OOMW.

  1. Environmental management: Integrating ecological evaluation, remediation, restoration, natural resource damage assessment and long-term stewardship on contaminated lands

    International Nuclear Information System (INIS)

    Burger, Joanna

    2008-01-01

    Ecological evaluation is essential for remediation, restoration, and Natural Resource Damage Assessment (NRDA), and forms the basis for many management practices. These include determining status and trends of biological, physical, or chemical/radiological conditions, conducting environmental impact assessments, performing remedial actions should remediation fail, managing ecosystems and wildlife, and assessing the efficacy of remediation, restoration, and long-term stewardship. The objective of this paper is to explore the meanings of these assessments, examine the relationships among them, and suggest methods of integration that will move environmental management forward. While remediation, restoration, and NRDA, among others, are often conducted separately, it is important to integrate them for contaminated land where the risks to ecoreceptors (including humans) can be high, and the potential damage to functioning ecosystems great. Ecological evaluations can range from inventories of local plants and animals, determinations of reproductive success of particular species, levels of contaminants in organisms, kinds and levels of effects, and environmental impact assessments, to very formal ecological risk assessments for a chemical or other stressor. Such evaluations can range from the individual species to populations, communities, ecosystems or the landscape scale. Ecological evaluations serve as the basis for making decisions about the levels and kinds of remediation, the levels and kinds of restoration possible, and the degree and kinds of natural resource injuries that have occurred because of contamination. Many different disciplines are involved in ecological evaluation, including biologists, conservationists, foresters, restoration ecologists, ecological engineers, economists, hydrologist, and geologists. Since ecological evaluation forms the basis for so many different types of environmental management, it seems reasonable to integrate management options

  2. To the issue of the environmental development of housing construction in the integrated land use management

    Science.gov (United States)

    Politi, Violetta

    2018-03-01

    The paper considers environmental problems arising during the implementation of housing programs for the integrated development of territories by high-rise buildings. The need to assess the quality of the environment in the functional zoning of territories is identified and a calculation of the index of the ecological potential of the territories is proposed. The main stages of organization of construction of environmental real estate and the introduction of energy-saving and resource-saving technologies at the regional level are formulated

  3. [Traditional and Complementary Medicine in Brazil: inclusion in the Brazilian Unified National Health System and integration with primary care].

    Science.gov (United States)

    Sousa, Islandia Maria Carvalho de; Tesser, Charles Dalcanale

    2017-01-23

    This study aimed to analyze the inclusion of Traditional and Complementary Medicine in Brazilian Unified National Health System (SUS) and its integration with primary healthcare (PHC). A qualitative study drew on institutional data, indexed articles, and case studies in selected Brazilian cities: Campinas (São Paulo State), Florianópolis (Santa Catarina State), Recife (Pernambuco State), Rio de Janeiro, and São Paulo. The analysis adopted the perspective of inclusion of Traditional and Complementary Medicine in the healthcare network and its integration with primary healthcare, based on the following dimensions: presence of Traditional and Complementary Medicine on the municipal agenda; position in the services; mode of access to Traditional and Complementary Medicine; Traditional and Complementary Medicine practitioners; types of practices; demand profile; and potential for expansion in the SUS. The authors identified and characterized four types of inclusion and integration of Traditional and Complementary Medicine, whether in association or not: Type 1 - in primary healthcare via professionals from the family health teams - Integrated; Type 2 - in primary healthcare via professionals with full-time employment - Juxtaposed; Type 3 - in primary healthcare via matrix-organized teams - Matrix Organization; Type 4 - in specialized services - Without Integration. The combination of types 1 and 3 was considered a potential guideline for the expansion of Traditional and Complementary Medicine in the SUS and can orient the growth and integration of Traditional and Complementary Medicine with primary healthcare. The growing presence of Traditional and Complementary Medicine in the SUS requires conceiving its strategic expansion, while existing experiences should not be wasted.

  4. Proposal to integrate the service on radiation hygiene at the primary health care services for workers exposed to ionizing radiation

    International Nuclear Information System (INIS)

    Frometa Suarez, Ileana; Lopez Pumar, Georgina; Gonzalez Amil, Melva

    1998-01-01

    The National Health System implemented in the last few years a new pattern of primary attention for workers by creating doctors offices in work centers. At the same time, the Ministry of Public Health (MINSAP) carries the medical surveillance of the staff exposed to ionizing radiation. This work proposes a program to integrate the consulting room on radiation hygiene to primary health care services for workers that work with ionizing radiation sources, aiming to ameliorate and improve them

  5. From GCM Output to Local Hydrologic and Ecological Impacts: Integrating Climate Change Projections into Conservation Lands

    Science.gov (United States)

    Weiss, S. B.; Micheli, L.; Flint, L. E.; Flint, A. L.; Thorne, J. H.

    2014-12-01

    Assessment of climate change resilience, vulnerability, and adaptation options require downscaling of GCM outputs to local scales, and conversion of temperature and precipitation forcings into hydrologic and ecological responses. Recent work in the San Francisco Bay Area, and California demonstrate a practical approach to this process. First, climate futures (GCM x Emissions Scenario) are screened using cluster analysis for seasonal precipitation and temperature, to select a tractable subset of projections that still represent the range of climate projections. Second, monthly climate projections are downscaled to 270m and the Basin Characterization Model (BCM) applied, to generate fine-scale recharge, runoff, actual evapotranspiration (AET), and climatic water deficit (CWD) accounting for soils, bedrock geology, topography, and local climate. Third, annual time-series are used to derive 30-year climatologies and recurrence intervals of extreme events (including multi-year droughts) at the scale of small watersheds and conservation parcels/networks. We take a "scenario-neutral" approach where thresholds are defined for system "failure," such as water supply shortfalls or drought mortality/vegetation transitions, and the time-window for hitting those thresholds is evaluated across all selected climate projections. San Francisco Bay Area examples include drought thresholds (CWD) for specific vegetation-types that identify leading/trailing edges and local refugia, evaluation of hydrologic resources (recharge and runoff) provided by conservation lands, and productivity of rangelands (AET). BCM outputs for multiple futures are becoming available to resource managers through on-line data extraction tools. This approach has wide applicability to numerous resource management issues.

  6. Regional Maritime Contexts and the Maritorium: A Latin American Perspective on Archaeological Land and Sea Integration

    Science.gov (United States)

    Herrera, Jorge M.; Chapanoff, Miguel

    2017-12-01

    In the field of maritime archaeology, the use of maritime, coastal, riverine, and lacustrine spaces by past societies has been perceived in different and changing viewpoints. These perspectives have flourished in dynamic and varying ways in many countries, and under different theoretical constructs. If in the 1970s the subject was perhaps not recognized as a central research subject by much of our community, it is now not only accepted but it has become a robust area of interest in maritime research. Two concepts in Latin America have been accepted that have had widespread application and influence, namely the regional maritime context and the maritorio. The points of contact between both are so intense that it is possible to speak about a single alternative with two possible names. In this article, their origins, applications, and theoretical influences are presented in a way that unifies these two concepts into a single approach (the maritorium), and examines how these ideas have been applied to research carried out in Mexico, Chile, and Uruguay. These applications are wide ranging, as they include the interconnected complexity between land and sea as used and inhabited by past societies. They have been applied in the study of ship traps, whole fleets, sites of maritime conflict and warfare, exploration activities, and ethnographic research. These will also be presented in light of other concepts of similar interest in the international sphere, such as the widespread concept of the Maritime Cultural Landscape, and also in view of other theoretical frameworks coming from the wider sphere of the profession, such as Landscape Archaeology and Phenomenological Archaeology.

  7. Land use change and conversion effects on ground water quality trends: An integration of land change modeler in GIS and a new Ground Water Quality Index developed by fuzzy multi-criteria group decision-making models.

    Science.gov (United States)

    Shooshtarian, Mohammad Reza; Dehghani, Mansooreh; Margherita, Ferrante; Gea, Oliveri Conti; Mortezazadeh, Shima

    2018-04-01

    This study aggregated Land Change Modeller (LCM) as a useful model in GIS with an extended Groundwater Quality Index (GWQI) developed by fuzzy Multi-Criteria Group Decision-Making models to investigate the effect of land use change and conversion on groundwater quality being supplied for drinking. The model's performance was examined through an applied study in Shiraz, Iran, in a five year period (2011 to 2015). Four land use maps including urban, industrial, garden, and bare were employed in LCM model and the impact of change in area and their conversion to each other on GWQI changes was analysed. The correlation analysis indicated that increase in the urban land use area and conversion of bare to the residential/industrial land uses, had a relation with water quality decrease. Integration of LCM and GWQI can accurately and logically provide a numerical analysis of the possible impact of land use change and conversion, as one of the influencing factors, on the groundwater quality. Hence, the methodology could be used in urban development planning and management in macro level. Copyright © 2018. Published by Elsevier Ltd.

  8. Health system challenges to integration of mental health delivery in primary care in Kenya--perspectives of primary care health workers.

    Science.gov (United States)

    Jenkins, Rachel; Othieno, Caleb; Okeyo, Stephen; Aruwa, Julyan; Kingora, James; Jenkins, Ben

    2013-09-30

    Health system weaknesses in Africa are broadly well known, constraining progress on reducing the burden of both communicable and non-communicable disease (Afr Health Monitor, Special issue, 2011, 14-24), and the key challenges in leadership, governance, health workforce, medical products, vaccines and technologies, information, finance and service delivery have been well described (Int Arch Med, 2008, 1:27). This paper uses focus group methodology to explore health worker perspectives on the challenges posed to integration of mental health into primary care by generic health system weakness. Two ninety minute focus groups were conducted in Nyanza province, a poor agricultural region of Kenya, with 20 health workers drawn from a randomised controlled trial to evaluate the impact of a mental health training programme for primary care, 10 from the intervention group clinics where staff had received the training programme, and 10 health workers from the control group where staff had not received the training). These focus group discussions suggested that there are a number of generic health system weaknesses in Kenya which impact on the ability of health workers to care for clients with mental health problems and to implement new skills acquired during a mental health continuing professional development training programmes. These weaknesses include the medicine supply, health management information system, district level supervision to primary care clinics, the lack of attention to mental health in the national health sector targets, and especially its absence in district level targets, which results in the exclusion of mental health from such district level supervision as exists, and the lack of awareness in the district management team about mental health. The lack of mental health coverage included in HIV training courses experienced by the health workers was also striking, as was the intensive focus during district supervision on HIV to the detriment of other

  9. Integrating addiction treatment into primary care using mobile health technology: protocol for an implementation research study.

    Science.gov (United States)

    Quanbeck, Andrew R; Gustafson, David H; Marsch, Lisa A; McTavish, Fiona; Brown, Randall T; Mares, Marie-Louise; Johnson, Roberta; Glass, Joseph E; Atwood, Amy K; McDowell, Helene

    2014-05-29

    Healthcare reform in the United States is encouraging Federally Qualified Health Centers and other primary-care practices to integrate treatment for addiction and other behavioral health conditions into their practices. The potential of mobile health technologies to manage addiction and comorbidities such as HIV in these settings is substantial but largely untested. This paper describes a protocol to evaluate the implementation of an E-Health integrated communication technology delivered via mobile phones, called Seva, into primary-care settings. Seva is an evidence-based system of addiction treatment and recovery support for patients and real-time caseload monitoring for clinicians. Our implementation strategy uses three models of organizational change: the Program Planning Model to promote acceptance and sustainability, the NIATx quality improvement model to create a welcoming environment for change, and Rogers's diffusion of innovations research, which facilitates adaptations of innovations to maximize their adoption potential. We will implement Seva and conduct an intensive, mixed-methods assessment at three diverse Federally Qualified Healthcare Centers in the United States. Our non-concurrent multiple-baseline design includes three periods - pretest (ending in four months of implementation preparation), active Seva implementation, and maintenance - with implementation staggered at six-month intervals across sites. The first site will serve as a pilot clinic. We will track the timing of intervention elements and assess study outcomes within each dimension of the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework, including effects on clinicians, patients, and practices. Our mixed-methods approach will include quantitative (e.g., interrupted time-series analysis of treatment attendance, with clinics as the unit of analysis) and qualitative (e.g., staff interviews regarding adaptations to implementation protocol) methods, and assessment of

  10. Assessment of a primary and tertiary care integrated management model for chronic obstructive pulmonary disease

    Directory of Open Access Journals (Sweden)

    Peiro Meritxell

    2009-02-01

    Full Text Available Abstract Background The diagnosis and treatment of patients with chronic obstructive pulmonary disease (COPD in Spain continues to present challenges, and problems are exacerbated when there is a lack of coordinated follow-up between levels of care. This paper sets out the protocol for assessing the impact of an integrated management model for the care of patients with COPD. The new model will be evaluated in terms of 1 improvement in the rational utilization of health-care services and 2 benefits reflected in improved health status and quality of life for patients. Methods/Design A quasi-experimental study of the effectiveness of a COPD management model called COPD PROCESS. The patients in the study cohorts will be residents of neighborhoods served by two referral hospitals in Barcelona, Spain. One area comprises the intervention group (n = 32,248 patients and the other the control group (n = 32,114 patients. The study will include pre- and post-intervention assessment 18 months after the program goes into effect. Analyses will be on two datasets: clinical and administrative data available for all patients, and clinical assessment information for a cohort of 440 patients sampled randomly from the intervention and control areas. The main endpoints will be the hospitalization rates in the two health-care areas and quality-of-life measures in the two cohorts. Discussion The COPD PROCESS model foresees the integrated multidisciplinary management of interventions at different levels of the health-care system through coordinated routine clinical practice. It will put into practice diagnostic and treatment procedures that are based on current evidence, multidisciplinary consensus, and efficient use of available resources. Care pathways in this model are defined in terms of patient characteristics, level of disease severity and the presence or absence of exacerbation. The protocol covers the full range of care from primary prevention to treatment of

  11. Integrating Pregnancy Prevention Into an HIV Counseling and Testing Program in Pediatric Primary Care.

    Science.gov (United States)

    Wheeler, Noah J; Upadhya, Krishna K; Tawe, Marie-Sophie; Tomaszewski, Kathy; Arrington-Sanders, Renata; Marcell, Arik V

    2018-04-11

    Certified health educator (CHE)-based HIV counseling and testing typically focus on HIV and sexually transmitted infection (STI) prevention only. A quality improvement initiative examined integrating assessment of reproductive life plans, counseling about pregnancy prevention, and contraception referral into a CHE-based HIV testing program. Between February 2014 and January 2017, in one urban pediatric primary care clinic serving patients aged 0-25, CHEs assessed sexual history, HIV risk, short-term (i.e., the next 6-12 months) pregnancy desire, and current contraception method and satisfaction among patients aged 13-25 who had ever had vaginal sex, using a standardized questionnaire. Data were analyzed using a de-identified administrative dataset that also tracked referrals to initiate contraception and actual method initiation. Of 1,211 patients, most (96%) reported no short-term pregnancy or partner pregnancy desire. Use of less effective or no contraception, as well as method dissatisfaction, was common. A high proportion of female patients referred to new methods opted for more effective methods (62%) and initiated these methods (76%); a high proportion of male patients opted for receipt of condoms (67%). Patients reporting short-term pregnancy desire reported higher rates of previous pregnancy and STIs. Program findings highlight the potential benefit of integrating assessment for and counseling about pregnancy prevention in a CHE-based HIV testing program. This can more effectively address the needs of patients with concomitant risks of STI/HIV and unintended pregnancy, and link patients who do not desire pregnancy to more effective methods. Copyright © 2018 The Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  12. Ecosystemic approaches to land degradation

    Energy Technology Data Exchange (ETDEWEB)

    Puigdefabregas, J.; Barrio, G. del; Hill, J.

    2009-07-01

    Land degradation is recognized as the main outcome of desertification. However available procedures for its assessment are still unsatisfactory because are often too costly for surveying large areas and rely on specific components of the degradation process without being able to integrate them in a unique process. One of the objectives of De Survey project is designing and implementing operational procedures for desertification surveillance, including land degradation. A strategic report was compiled and reproduced here for selecting the most appropriate approaches to the project conditions. The report focuses on using attributes of ecosystem maturity as a natural way to integrate the different drivers of land degradation in simple indices. The review surveys different families of attributes concerned with water and energy fluxes through the ecosystem, its capacity to sustain biomass and net primary productivity, and its capacity to structure the space. Finally, some conclusions are presented about the choice criteria of the different approaches in the framne of operational applications. (Author) 20 refs.

  13. Ecosystemic approaches to land degradation

    International Nuclear Information System (INIS)

    Puigdefabregas, J.; Barrio, G. del; Hill, J.

    2009-01-01

    Land degradation is recognized as the main outcome of desertification. However available procedures for its assessment are still unsatisfactory because are often too costly for surveying large areas and rely on specific components of the degradation process without being able to integrate them in a unique process. One of the objectives of De Survey project is designing and implementing operational procedures for desertification surveillance, including land degradation. A strategic report was compiled and reproduced here for selecting the most appropriate approaches to the project conditions. The report focuses on using attributes of ecosystem maturity as a natural way to integrate the different drivers of land degradation in simple indices. The review surveys different families of attributes concerned with water and energy fluxes through the ecosystem, its capacity to sustain biomass and net primary productivity, and its capacity to structure the space. Finally, some conclusions are presented about the choice criteria of the different approaches in the framne of operational applications. (Author) 20 refs.

  14. The relationship between technology leadership roles and profiles of school principals and technology integration in primary school classrooms

    OpenAIRE

    Mustafa SAMANCIOĞLU; Murat BAĞLIBEL; Mahmut KALMAN; Mehmet SİNCAR

    2015-01-01

    The purpose of this study was to investigate the relationship between technology leadership behaviors of school principals and teachers’ level of technology integration, and to determine technology leadership profiles based on teacher views and examine their association with technology integration. The researchers administered two questionnaires to 352 teachers working at sixteen primary schools in a large city in southeastern Turkey. The results revealed a positive, but weak relationship bet...

  15. Improving Multisensor Positioning of Land Vehicles with Integrated Visual Odometry for Next-Generation Self-Driving Cars

    Directory of Open Access Journals (Sweden)

    Muhammed Tahsin Rahman

    2018-01-01

    Full Text Available For their complete realization, autonomous vehicles (AVs fundamentally rely on the Global Navigation Satellite System (GNSS to provide positioning and navigation information. However, in area such as urban cores, parking lots, and under dense foliage, which are all commonly frequented by AVs, GNSS signals suffer from blockage, interference, and multipath. These effects cause high levels of errors and long durations of service discontinuity that mar the performance of current systems. The prevalence of vision and low-cost inertial sensors provides an attractive opportunity to further increase the positioning and navigation accuracy in such GNSS-challenged environments. This paper presents enhancements to existing multisensor integration systems utilizing the inertial navigation system (INS to aid in Visual Odometry (VO outlier feature rejection. A scheme called Aided Visual Odometry (AVO is developed and integrated with a high performance mechanization architecture utilizing vehicle motion and orientation sensors. The resulting solution exhibits improved state covariance convergence and navigation accuracy, while reducing computational complexity. Experimental verification of the proposed solution is illustrated through three real road trajectories, over two different land vehicles, and using two low-cost inertial measurement units (IMUs.

  16. Integrating ecosystem services trade-offs with paddy land-to-dry land decisions: A scenario approach in Erhai Lake Basin, southwest China.

    Science.gov (United States)

    Hu, Yi'na; Peng, Jian; Liu, Yanxu; Tian, Lu

    2018-06-01

    Ecosystem services are the benefits people obtain from ecosystems, and ecosystem services trade-offs have been widely applied to the development of land-use policy. Although previous studies have focused on trade-offs of ecosystem services, a scenario approach has been seldom used. The scenario approach can reveal the changes of ecosystem services for different land-use patterns in the future, and is of great significance for land-use decisions and ecosystem management. Based on the actual situation of deteriorating water quality and dwindling water supply in the Erhai Lake Basin of southwest China, this study put forward to convert paddy land to dry land (PLDL) in the basin, and simulated its potential impact on ecosystem services. Taking environmental pollution, social impact, economic benefit and residential participation into consideration, four scenarios of PLDL were designed. Then, four ecosystem services (water purification, water yield, soil conservation and rice production) were calculated for each scenario. The optimal scenario of PLDL in the Erhai Lake Basin was identified by trade-offs of the four ecosystem services. The results showed that the total nitrogen export could be reduced by 42.07% and water yield can be increased by 5.61% after converting 100% of paddy lands to dry land, thereby greatly improving the water quality and increasing the water yield of Erhai Lake. However, PLDL involving 100% of paddy lands also increased the sediment export by 17.22%, and eliminated rice production in the region. By comparing the four PLDL scenarios for converting just 50% of paddy lands, the residential participation scenario was identified to be the best choice for PLDL implementation because it achieved the best level of water purification and had the smallest negative effect on other ecosystem services. The optimal scenario for each township showed spatial differentiation, and there were conflicts between the optimal scenarios at basin scale and township

  17. Landscape ecological planning: Integrating land use and wildlife conservation for biomass crops

    Energy Technology Data Exchange (ETDEWEB)

    Schiller, A.

    1995-12-31

    What do a mussel shoat, a zoo, and a biomass plantation have in common? Each can benefit from ecology-based landscape planning. This paper provides examples of landscape ecological planning from some diverse projects the author has worked on, and discusses how processes employed and lessons learned from these projects are being used to help answer questions about the effects of biomass plantings (hardwood tree crops and native grasses) on wildlife habitat. Biomass environmental research is being designed to assess how plantings of different acreage, composition and landscape context affect wildlife habitat value, and is addressing the cumulative effect on wildlife habitat of establishing multiple biomass plantations across the landscape. Through landscape ecological planning, answers gleaned from research can also help guide biomass planting site selection and harvest strategies to improve habitat for native wildlife species within the context of economically viable plantation management - thereby integrating the needs of people with those of the environment.

  18. A new integrated and homogenized global monthly land surface air temperature dataset for the period since 1900

    Science.gov (United States)

    Xu, Wenhui; Li, Qingxiang; Jones, Phil; Wang, Xiaolan L.; Trewin, Blair; Yang, Su; Zhu, Chen; Zhai, Panmao; Wang, Jinfeng; Vincent, Lucie; Dai, Aiguo; Gao, Yun; Ding, Yihui

    2018-04-01

    A new dataset of integrated and homogenized monthly surface air temperature over global land for the period since 1900 [China Meteorological Administration global Land Surface Air Temperature (CMA-LSAT)] is developed. In total, 14 sources have been collected and integrated into the newly developed dataset, including three global (CRUTEM4, GHCN, and BEST), three regional and eight national sources. Duplicate stations are identified, and those with the higher priority are chosen or spliced. Then, a consistency test and a climate outlier test are conducted to ensure that each station series is quality controlled. Next, two steps are adopted to assure the homogeneity of the station series: (1) homogenized station series in existing national datasets (by National Meteorological Services) are directly integrated into the dataset without any changes (50% of all stations), and (2) the inhomogeneities are detected and adjusted for in the remaining data series using a penalized maximal t test (50% of all stations). Based on the dataset, we re-assess the temperature changes in global and regional areas compared with GHCN-V3 and CRUTEM4, as well as the temperature changes during the three periods of 1900-2014, 1979-2014 and 1998-2014. The best estimates of warming trends and there 95% confidence ranges for 1900-2014 are approximately 0.102 ± 0.006 °C/decade for the whole year, and 0.104 ± 0.009, 0.112 ± 0.007, 0.090 ± 0.006, and 0.092 ± 0.007 °C/decade for the DJF (December, January, February), MAM, JJA, and SON seasons, respectively. MAM saw the most significant warming trend in both 1900-2014 and 1979-2014. For an even shorter and more recent period (1998-2014), MAM, JJA and SON show similar warming trends, while DJF shows opposite trends. The results show that the ability of CMA-LAST for describing the global temperature changes is similar with other existing products, while there are some differences when describing regional temperature changes.

  19. Navigating the legal and ethical foundations of informed consent and confidentiality in integrated primary care.

    Science.gov (United States)

    Hudgins, Cathy; Rose, Sandra; Fifield, Peter Y; Arnault, Steve

    2013-03-01

    This article describes findings from ongoing research and analysis of current literature in addition to discussions with leaders in the field, communications with lawyers and administrators of advocacy and government agencies pertaining to integrated primary care (IPC). Standards of care are established based on a myriad of factors, including professional codes of ethics, case law, state and federal laws, professional standards, existing best practices, current professional guidelines, administrative rules and regulations, and licensing board regulations. Regulations may differ for behavioral health and medical providers, posing challenges in IPC settings. This article provides a review of these regulations, particularly 42CFR Part 2, a federal law governing confidentiality for substance abuse programs, Health Insurance Portability and Accountability Act (HIPAA), and state laws relevant to patient care in IPC settings. On the basis of findings from the study, the authors make recommendations related to patient care practices concerning informed consent and release of information procedures, treatment and warm hand-off protocols, documentation and electronic record keeping, agreements with other providers, and billing. (PsycINFO Database Record (c) 2013 APA, all rights reserved).

  20. Integrative analysis of copy number and gene expression data suggests novel pathogenetic mechanisms in primary myelofibrosis.

    Science.gov (United States)

    Salati, Simona; Zini, Roberta; Nuzzo, Simona; Guglielmelli, Paola; Pennucci, Valentina; Prudente, Zelia; Ruberti, Samantha; Rontauroli, Sebastiano; Norfo, Ruggiero; Bianchi, Elisa; Bogani, Costanza; Rotunno, Giada; Fanelli, Tiziana; Mannarelli, Carmela; Rosti, Vittorio; Salmoiraghi, Silvia; Pietra, Daniela; Ferrari, Sergio; Barosi, Giovanni; Rambaldi, Alessandro; Cazzola, Mario; Bicciato, Silvio; Tagliafico, Enrico; Vannucchi, Alessandro M; Manfredini, Rossella

    2016-04-01

    Primary myelofibrosis (PMF) is a Myeloproliferative Neoplasm (MPN) characterized by megakaryocyte hyperplasia, progressive bone marrow fibrosis, extramedullary hematopoiesis and transformation to Acute Myeloid Leukemia (AML). A number of phenotypic driver (JAK2, CALR, MPL) and additional subclonal mutations have been described in PMF, pointing to a complex genomic landscape. To discover novel genomic lesions that can contribute to disease phenotype and/or development, gene expression and copy number signals were integrated and several genomic abnormalities leading to a concordant alteration in gene expression levels were identified. In particular, copy number gain in the polyamine oxidase (PAOX) gene locus was accompanied by a coordinated transcriptional up-regulation in PMF patients. PAOX inhibition resulted in rapid cell death of PMF progenitor cells, while sparing normal cells, suggesting that PAOX inhibition could represent a therapeutic strategy to selectively target PMF cells without affecting normal hematopoietic cells' survival. Moreover, copy number loss in the chromatin modifier HMGXB4 gene correlates with a concomitant transcriptional down-regulation in PMF patients. Interestingly, silencing of HMGXB4 induces megakaryocyte differentiation, while inhibiting erythroid development, in human hematopoietic stem/progenitor cells. These results highlight a previously un-reported, yet potentially interesting role of HMGXB4 in the hematopoietic system and suggest that genomic and transcriptional imbalances of HMGXB4 could contribute to the aberrant expansion of the megakaryocytic lineage that characterizes PMF patients. © 2015 UICC.

  1. Evaluating the Outcomes of Transactional Analysis and Integrative Counselling Psychology within UK Primary Care Settings

    Directory of Open Access Journals (Sweden)

    Biljana van Rijn

    2011-07-01

    Full Text Available The paper reports on a naturalistic study that replicated the evaluative design associated with the UK National Health Service initiative IAPT − Improving Access to Psychological Therapies (CSIP 2008, NHS 2011, as previously used to assess Cognitive Behavioural Therapy (CBT, with the aim of evaluating 12-session treatments for anxiety and depression, applying Transactional Analysis and Integrative Counselling Psychology approaches within real clinical settings in primary care. Standard outcome measures were used in line with the IAPT model (CORE 10 and 34, GAD-7, PHQ-9, supplemented with measurement of the working alliance (WAI Horvath 1986 and an additional depression inventory BDI-II (Beck, 1996, and ad-herence to the therapeutic model using newly designed questionnaires. Results indicated that severity of problems was reduced using either approach, comparative to Cognitive Behavioural Therapy; that initial severity was predictive of outcome; and that working alliance increased as therapy progressed but was not directly related to outcomes. Adherence was high for both approaches. Several areas for enhance-ments to future research are suggested.

  2. Sustainability of the integrated chronic disease management model at primary care clinics in South Africa

    Science.gov (United States)

    Asmall, Shaidah

    2016-01-01

    Background An integrated chronic disease management (ICDM) model consisting of four components (facility reorganisation, clinical supportive management, assisted self-supportive management and strengthening of support systems and structures outside the facility) has been implemented across 42 primary health care clinics in South Africa with a view to improve the operational efficiency and patient clinical outcomes. Aim The aim of this study was to assess the sustainability of the facility reorganisation and clinical support components 18 months after the initiation. Setting The study was conducted at 37 of the initiating clinics across three districts in three provinces of South Africa. Methods The National Health Service (NHS) Institute for Innovation and Improvement Sustainability Model (SM) self-assessment tool was used to assess sustainability. Results Bushbuckridge had the highest mean sustainability score of 71.79 (95% CI: 63.70–79.89) followed by West Rand Health District (70.25 (95% CI: 63.96–76.53)) and Dr Kenneth Kaunda District (66.50 (95% CI: 55.17–77.83)). Four facilities (11%) had an overall sustainability score of less than 55. Conclusion The less than optimal involvement of clinical leadership (doctors), negative staff behaviour towards the ICDM, adaptability or flexibility of the model to adapt to external factors and infrastructure limitation have the potential to negatively affect the sustainability and scale-up of the model. PMID:28155314

  3. From theoretical concepts to policies and applied programmes: the landscape of integration of oral health in primary care.

    Science.gov (United States)

    Harnagea, Hermina; Lamothe, Lise; Couturier, Yves; Esfandiari, Shahrokh; Voyer, René; Charbonneau, Anne; Emami, Elham

    2018-02-15

    Despite its importance, the integration of oral health into primary care is still an emerging practice in the field of health care services. This scoping review aims to map the literature and provide a summary on the conceptual frameworks, policies and programs related to this concept. Using the Levac et al. six-stage framework, we performed a systematic search of electronic databases, organizational websites and grey literature from 1978 to April 2016. All relevant original publications with a focus on the integration of oral health into primary care were retrieved. Content analyses were performed to synthesize the results. From a total of 1619 citations, 67 publications were included in the review. Two conceptual frameworks were identified. Policies regarding oral heath integration into primary care were mostly oriented toward common risk factors approach and care coordination processes. In general, oral health integrated care programs were designed in the public health sector and based on partnerships with various private and public health organizations, governmental bodies and academic institutions. These programmes used various strategies to empower oral health integrated care, including building interdisciplinary networks, training non-dental care providers, oral health champion modelling, enabling care linkages and care coordinated process, as well as the use of e-health technologies. The majority of studies on the programs outcomes were descriptive in nature without reporting long-term outcomes. This scoping review provided a comprehensive overview on the concept of integration of oral health in primary care. The findings identified major gaps in reported programs outcomes mainly because of the lack of related research. However, the results could be considered as a first step in the development of health care policies that support collaborative practices and patient-centred care in the field of primary care sector.

  4. A Review of the Integrated Effects of Changing Climate, Land Use, and Dams on Mekong River Hydrology

    Directory of Open Access Journals (Sweden)

    Yadu Pokhrel

    2018-03-01

    Full Text Available The ongoing and proposed construction of large-scale hydropower dams in the Mekong river basin is a subject of intense debate and growing international concern due to the unprecedented and potentially irreversible impacts these dams are likely to have on the hydrological, agricultural, and ecological systems across the basin. Studies have shown that some of the dams built in the tributaries and the main stem of the upper Mekong have already caused basin-wide impacts by altering the magnitude and seasonality of flows, blocking sediment transport, affecting fisheries and livelihoods of downstream inhabitants, and changing the flood pulse to the Tonle Sap Lake. There are hundreds of additional dams planned for the near future that would result in further changes, potentially causing permanent damage to the highly productive agricultural systems and fisheries, as well as the riverine and floodplain ecosystems. Several studies have examined the potential impacts of existing and planned dams but the integrated effects of the dams when combined with the adverse hydrologic consequences of climate change remain largely unknown. Here, we provide a detailed review of the existing literature on the changes in climate, land use, and dam construction and the resulting impacts on hydrological, agricultural, and ecological systems across the Mekong. The review provides a basis to better understand the effects of climate change and accelerating human water management activities on the coupled hydrological-agricultural-ecological systems, and identifies existing challenges to study the region’s Water, Energy, and Food (WEF nexus with emphasis on the influence of future dams and projected climate change. In the last section, we synthesize the results and highlight the urgent need to develop integrated models to holistically study the coupled natural-human systems across the basin that account for the impacts of climate change and water infrastructure development

  5. Integrated report on radionuclide migration at the Savannah River shallow land burial site

    International Nuclear Information System (INIS)

    Towler, O.A. Jr.

    1989-03-01

    The impact of the SRP Solid Radioactive Waste Burial Ground on the environment has been studied since the early 1970s in four subtasks: subsurface monitoring of groundwater, lysimeter tests of waste, soil-water chemistry effects, and radionuclide transport modeling. This document summarizes and integrates the results of the four subtasks. More information has been gathered on the behavior of radionuclides in a solid waste disposal facility located in a humid region than from any other waste disposal site in the world. The design of closure for the SRP Burial Ground has been given a firm technical basis. The limiting pathways for radionuclide migration have been determined to be infiltrating rainwater and root penetration. Closure designs must therefore address both these factors. The designs for new storage/disposal facilities have also been given a firm technical basis. The major conclusions are that tritium will be stored for decay and not allowed to contact the groundwater, waste containing long-lived radionuclides such as iodine-129 must be stored for later geologic disposal, and above and below ground concrete vaults should be used for disposal of other low-level radioactive waste. 61 refs., 18 figs. 8 tabs

  6. Primary evaluation of the radon situation in dwellings in Saxony by long-time integrating measurements, comparison of the results with short-time measurements and determination of the radon activity concentration in the ground of the land; Erstbewertung zur Radonsituation von Haeusern im Freistaat Sachsen mittels langzeitintegrierenden Messungen, Vergleich der Ergebnisse mit Kurzzeitmessungen und Erfassung der Radon-Aktivitaetskonzentration in der Bodenluft der Grundstuecke

    Energy Technology Data Exchange (ETDEWEB)

    Alisch-Mark, M.; Keck, D.; Preusse, W.; Taube, A.; Busch, H.; Heinrich, T. [Staatliche Betriebsgesellschaft fuer Umwelt und Landwirtschaft, Sachsen (Germany)

    2016-07-01

    A measurement program was carried out for primary evaluation of dwellings in terms of radon situation. Short-time measurements were compared with annual averages and checked for their suitability for forecasting the annual averages. In 89% of the cases studied, the average annual values could be predicted by short-time measurements, differences were observed depending on the date of the short-time measure. In addition, radon activity concentrations were determined in the soil air in the ground and compared with the expected areas of forecasting map of Saxony. Discrepancies were found primarily in areas which are marked by a smallscale geology. The data obtained showed that the geogenic radon potential and the year of construction of the house represent factors influencing the probability of exceedance of the reference value of 300 Bq/m{sup 3}.

  7. Integrated primary health care in Greece, a missing issue in the current health policy agenda: a systematic review

    Directory of Open Access Journals (Sweden)

    Christos Lionis

    2009-07-01

    Full Text Available Background: Over the past years, Greece has undergone several endeavors aimed at modernizing and improving national health care services with a focus on PHC. However, the extent to which integrated primary health care has been achieved is still questioned. Purpose: This paper explores the extent to which integrated primary health care (PHC is an issue in the current agenda of policy makers in Greece, reporting constraints and opportunities and highlighting the need for a policy perspective in developing integrated PHC in this Southern European country. Methods: A systematic review in PubMed/Medline and SCOPUS, along with a hand search in selected Greek biomedical journals was undertaken to identify key papers, reports, editorials or opinion letters relevant to integrated health care. Results: Our systematic review identified 198 papers and 161 out of them were derived from electronic search. Fifty-three papers in total served the scope of this review and are shortly reported. A key finding is that the long-standing dominance of medical perspectives in Greek health policy has been paving the way towards vertical integration, pushing aside any discussions about horizontal or comprehensive integration of care. Conclusion: Establishment of integrated PHC in Greece is still at its infancy, requiring major restructuring of the current national health system, as well as organizational culture changes. Moving towards a new policy-based model would bring this missing issue on the discussion table, facilitating further development.

  8. Aesthetic Education of Primary School Pupils as an Integral Part of the National System of Continuous Art Education in Japan

    Science.gov (United States)

    Kuchai, Tetiana

    2014-01-01

    The article examines aesthetic education of primary school pupils as an integral part of the national system of continuous art education in Japan. One of the most important traditional means of aesthetic education in Japan, according to L. Tsaryova is considered nature. Analysis of the scientific literature by domestic and foreign scientists…

  9. Study of the Results in the Acquisition of Core Competencies in Schools That Integrate Primary Education and Music

    Science.gov (United States)

    Andreu Duran, Maria; Godall Castell, Pere; Amador Guillem, Miquel; Castro Morera, Maria

    2017-01-01

    The goal of this research was to carry out an exploratory study on how music education integrated into primary schooling (children from 6 to 12 years old) can help in acquiring the core competencies characteristic of this stage. The study was conducted by developing a validated instrument, pilot-tested for reliability, to assess the eight core…

  10. Integrated assessment of the impact of climate and land use changes on groundwater quantity and quality in Mancha Oriental (Spain)

    OpenAIRE

    M. Pulido-Velazquez; S. Peña-Haro; A. Garcia-Prats; A. F. Mocholi-Almudever; L. Henriquez-Dole; H. Macian-Sorribes; A. Lopez-Nicolas

    2014-01-01

    Climate and land use change (global change) impacts on groundwater systems cannot be studied in isolation, as various and complex interactions in the hydrological cycle take part. Land-use and land-cover (LULC) changes have a great impact on the water cycle and contaminant production and transport. Groundwater flow and storage are changing in response not only to climatic changes but also to human impacts on land uses and demands (global change). Changes in future climate an...

  11. Quantifying gross vs. net agricultural land use change in Great Britain using the Integrated Administration and Control System

    OpenAIRE

    Tomlinson, Samuel J.; Dragosits, Ulrike; Levy, Peter E.; Thomson, Amanda M.; Moxley, Janet

    2018-01-01

    Land use change has impacts upon many natural processes, and is one of the key measures of anthropogenic disturbance on ecosystems. Agricultural land covers 70% of Great Britain's (GB) land surface and annually undergoes disturbance and change through farming practices such as crop rotation, ploughing and the planting and subsequent logging of forestry. It is important to quantify how much of GB's agricultural land undergoes such changes and what those changes are at an annual temporal resolu...

  12. Preventing and controlling land subsidence in Shanghai -towards more integrated and effective land use and ground water governance in the Yangtze Delta

    Science.gov (United States)

    Dai, Liping

    2016-04-01

    The Yangtze Delta, covers 210,700 square kilometers and with 156 million inhabitants (NRDC, 2010; The National Bureau of Statistics, 2011), is one of the areas most severely affected by land subsidence in China. Up to 2012, the area with cumulative subsidence above 200 mm in Yangtze Delta has been closed to 10,000 square kilometers. Shanghai, located at the estuary of the Yangtze River and with a population of 23 million, is the most densely populated city in Yangtze Delta (The National Bureau of Statistics, 2011). Since 1921, the recorded cumulative subsidence has been 200 to 300 mm in the central area of the city (Chai, Shen, Zhu, & Zhang, 2005). Excessive pumping of groundwater is considered to be the leading reason, accounts for nearly 70%, of the city's land subsidence, the weight of skyscrapers and global warming also play hefty roles (30%) (Springer, 2012). Research has shown that the main method to control land subsidence in Shanghai is to prevent groundwater from dropping (Chai, Shen, Zhu, & Zhang, 2005), the city has made great efforts in this regard since 1965 (the beginning of the so-called "control period"), for example, it has been recharging underground water through 121 wells with more than 60,000 tons every day since 2012 (Chinadaily, 2012). It is a huge burden considering the city has been suffering from a shortage of fresh water. In 2013, with the other two provinces of Jiangsu and Zhejiang in Yangtze Delta, Shanghai signed a delta cooperation agreement on the prevention and control of land subsidence and jointly issued a Prevention and Control Planning on Land Subsidence in Yangtze Delta (2014-2020), which aims to establish a long-effect mechanism in the delta scope. This research aims to analyze and assess the land and groundwater governance arrangements related to land subsidence in the Yangtze Delta in general and Shanghai in specific, in order to develop optimizing adaptation strategies and associated governance arrangements. It examines the

  13. Nitrification is a primary driver of nitrous oxide production in laboratory microcosms from different land-use soils

    Directory of Open Access Journals (Sweden)

    Rui Liu

    2016-09-01

    Full Text Available Most studies on soil N2O emissions have focused either on the quantifying of agricultural N2O fluxes or on the effect of environmental factors on N2O emissions. However very limited information is available on how land-use will affect N2O production, and nitrifiers involved in N2O emissions in agricultural soil ecosystems. Therefore, this study aimed at evaluating the relative importance of nitrification and denitrification to N2O emissions from different land-use soils and identifying the potential underlying microbial mechanisms. A 15N-tracing experiment was conducted under controlled laboratory conditions on four agricultural soils collected from different land-use. We measured N2O fluxes, nitrate (NO3− and ammonium (NH4+ concentration and15N2O, 15NO3− and 15NH4+ enrichment during the incubation. Quantitative PCR was used to quantify ammonia-oxidizing archaea (AOA and ammonia-oxidizing bacteria (AOB. Our results showed that nitrification was the main contributor to N2O production in soils from sugarcane, dairy pasture and cereal cropping systems, while denitrification played a major role in N2O production in the vegetable soil under the experimental conditions. Nitrification contributed to 96.7% of the N2O emissions in sugarcane soil followed by 71.3% in the cereal cropping soil and 70.9% in the dairy pasture soil, while only around 20.0% of N2O was produced from nitrification in vegetable soil. The proportion of nitrified nitrogen as N2O (PN2O value varied across different soils, with the highest PN2O value (0.26‰ found in the cereal cropping soil, which was around 10 times higher than that in other three systems. AOA were the abundant ammonia oxidizers, and were significantly correlated to N2O emitted from nitrification in the sugarcane soil, while AOB were significantly correlated with N2O emitted from nitrification in the cereal cropping soil. Our findings suggested that soil type and land-use might have strongly affected the

  14. Nitrification Is a Primary Driver of Nitrous Oxide Production in Laboratory Microcosms from Different Land-Use Soils.

    Science.gov (United States)

    Liu, Rui; Hu, Hangwei; Suter, Helen; Hayden, Helen L; He, Jizheng; Mele, Pauline; Chen, Deli

    2016-01-01

    Most studies on soil N2O emissions have focused either on the quantifying of agricultural N2O fluxes or on the effect of environmental factors on N2O emissions. However, very limited information is available on how land-use will affect N2O production, and nitrifiers involved in N2O emissions in agricultural soil ecosystems. Therefore, this study aimed at evaluating the relative importance of nitrification and denitrification to N2O emissions from different land-use soils and identifying the potential underlying microbial mechanisms. A (15)N-tracing experiment was conducted under controlled laboratory conditions on four agricultural soils collected from different land-use. We measured N2O fluxes, nitrate ([Formula: see text]), and ammonium ([Formula: see text]) concentration and (15)N2O, (15)[Formula: see text], and (15)[Formula: see text] enrichment during the incubation. Quantitative PCR was used to quantify ammonia-oxidizing archaea (AOA) and ammonia-oxidizing bacteria (AOB). Our results showed that nitrification was the main contributor to N2O production in soils from sugarcane, dairy pasture and cereal cropping systems, while denitrification played a major role in N2O production in the vegetable soil under the experimental conditions. Nitrification contributed to 96.7% of the N2O emissions in sugarcane soil followed by 71.3% in the cereal cropping soil and 70.9% in the dairy pasture soil, while only around 20.0% of N2O was produced from nitrification in vegetable soil. The proportion of nitrified nitrogen as N2O (PN2O-value) varied across different soils, with the highest PN2O-value (0.26‰) found in the cereal cropping soil, which was around 10 times higher than that in other three systems. AOA were the abundant ammonia oxidizers, and were significantly correlated to N2O emitted from nitrification in the sugarcane soil, while AOB were significantly correlated with N2O emitted from nitrification in the cereal cropping soil. Our findings suggested that soil

  15. Integrated analysis of land use changes and their impacts on agrarian livelihoods in the western highlands of Kenya

    NARCIS (Netherlands)

    Mutoko, M.C.; Hein, L.G.; Bartholomeus, H.

    2014-01-01

    Land degradation is affecting rural livelihoods across sub-Saharan Africa. Promoting sustainable land management requires a thorough understanding of land use change drivers, processes and effects. However, in most African countries reliable data for such investigations are missing. We therefore

  16. Terminal area automatic navigation, guidance and control research using the Microwave Landing System (MLS). Part 5: Design and development of a Digital Integrated Automatic Landing System (DIALS) for steep final approach using modern control techniques

    Science.gov (United States)

    Halyo, N.

    1983-01-01

    The design and development of a 3-D Digital Integrated Automatic Landing System (DIALS) for the Terminal Configured Vehicle (TCV) Research Aircraft, a B-737-100 is described. The system was designed using sampled data Linear Quadratic Gaussian (LOG) methods, resulting in a direct digital design with a modern control structure which consists of a Kalman filter followed by a control gain matrix, all operating at 10 Hz. DIALS uses Microwave Landing System (MLS) position, body-mounted accelerometers, as well as on-board sensors usually available on commercial aircraft, but does not use inertial platforms. The phases of the final approach considered are the localizer and glideslope capture which may be performed simultaneously, localizer and steep glideslope track or hold, crab/decrab and flare to touchdown. DIALS captures, tracks and flares from steep glideslopes ranging from 2.5 deg to 5.5 deg, selected prior to glideslope capture. Digital Integrated Automatic Landing System is the first modern control design automatic landing system successfully flight tested. The results of an initial nonlinear simulation are presented here.

  17. Predation as the primary selective force in recurrent evolution of gigantism in Poecilozonites land snails in Quaternary Bermuda

    Science.gov (United States)

    Olson, Storrs L.; Hearty, Paul J.

    2010-01-01

    During the last half million years, pulses of gigantism in the anagenetic lineage of land snails of the subgenus Poecilozonites on Bermuda were correlated with glacial periods when lower sea level resulted in an island nearly an order of magnitude larger than at present. During those periods, the island was colonized by large vertebrate predators that created selection pressure for large size and rapid growth in the snails. Extreme reduction in land area from rising seas, along with changes in ecological conditions at the onset of interglacial episodes, marked extinction events for large predators, after which snails reverted to much smaller size. The giant snails were identical in morphology during the last two glacials when the predators included a large flightless rail Rallus recessus (marine isotope stages (MIS) 4-2) and a crane Grus latipes and a duck Anas pachysceles (MIS 6). In a preceding glacial period (MIS 10), when the fauna also included the tortoise Hesperotestudo bermudae, the snails were not only large, but the shells were much thicker, presumably to prevent crushing by tortoises. Evolution of Poecilozonites provides an outstanding example of dramatic morphological change in response to environmental pressures in the absence of cladogenesis. PMID:20554560

  18. What can and can't we say about indirect land-use change in Brazil using an integrated economic - land-use change model?

    NARCIS (Netherlands)

    Verstegen, J.A.; Hilst, van der Floor; Woltjer, Geert; Karssenberg, Derek; Jong, de S.M.; Faaij, André P.C.

    2016-01-01

    It is commonly recognized that large uncertainties exist in modelled biofuel-induced indirect land-use change, but until now, spatially explicit quantification of such uncertainties by means of error propagation modelling has never been performed. In this study, we demonstrate a general

  19. Integrative image segmentation optimization and machine learning approach for high quality land-use and land-cover mapping using multisource remote sensing data

    Science.gov (United States)

    Gibril, Mohamed Barakat A.; Idrees, Mohammed Oludare; Yao, Kouame; Shafri, Helmi Zulhaidi Mohd

    2018-01-01

    The growing use of optimization for geographic object-based image analysis and the possibility to derive a wide range of information about the image in textual form makes machine learning (data mining) a versatile tool for information extraction from multiple data sources. This paper presents application of data mining for land-cover classification by fusing SPOT-6, RADARSAT-2, and derived dataset. First, the images and other derived indices (normalized difference vegetation index, normalized difference water index, and soil adjusted vegetation index) were combined and subjected to segmentation process with optimal segmentation parameters obtained using combination of spatial and Taguchi statistical optimization. The image objects, which carry all the attributes of the input datasets, were extracted and related to the target land-cover classes through data mining algorithms (decision tree) for classification. To evaluate the performance, the result was compared with two nonparametric classifiers: support vector machine (SVM) and random forest (RF). Furthermore, the decision tree classification result was evaluated against six unoptimized trials segmented using arbitrary parameter combinations. The result shows that the optimized process produces better land-use land-cover classification with overall classification accuracy of 91.79%, 87.25%, and 88.69% for SVM and RF, respectively, while the results of the six unoptimized classifications yield overall accuracy between 84.44% and 88.08%. Higher accuracy of the optimized data mining classification approach compared to the unoptimized results indicates that the optimization process has significant impact on the classification quality.

  20. Integrated carbon analysis of biomass production on fallow agricultural land and product substitution in Sweden - Preliminary results

    Energy Technology Data Exchange (ETDEWEB)

    Dornburg, Veronika; Eggers, Thies; Gustavsson, Leif [Mid Sweden Univ., Oestersund (Sweden). Ecotechnology

    2006-07-15

    An important option in the Swedish context to reduce its net emissions of carbon dioxide (CO{sub 2}) is the increased use of biomass for energy and material substitution. On fallow agricultural land additional production of biomass would be possible. We analyse biomass production systems based on Norway spruce, hybrid poplar and willow hybrids and the use of this biomass to replace fossil energy and energy intensive material systems. The highest biomass production potential is for willow in southern Sweden. Fertilisation management of spruce could shorten the rotation lengths by about 17%. The fertilised production of Norway spruce with use of harvested timber for construction and use of remaining woody biomass for heat and power production gives the largest reductions of carbon emissions per hectare under the assumptions made. The use of willow for heat and power and of fertilised spruce for a wood product mix lead to the highest fossil primary energy savings in our scenarios. Spruce cultivations can achieve considerable carbon emission reductions in the long term, but willow and poplar might be a good option when fossil energy savings and carbon emission reductions should be achieved in the short term.

  1. [Perception of Primary Care physicians on the integration with cardiology through continuity of healthcare programs in secondary prevention].

    Science.gov (United States)

    Cosin-Sales, J; Orozco Beltrán, D; Ledesma Rodríguez, R; Barbon Ortiz Casado, A; Fernández, G

    2018-02-17

    To determine the perception of Primary Care (PC) physicians on the integration with cardiology (CA) through continuity of healthcare programs. A cross-sectional and multicentre study was conducted, in which a total of 200 PC physicians from all over Spain completed a qualitative survey that evaluated the level of integration with CA in secondary prevention. Physicians were grouped according to the level of PC-CA integration. The integration between CA and PC was good, but it was better in those centres with a higher integration (74.0% vs. 60.0%; p=.02) and in general, physicians considered that integration had improved (92.0% vs. 73.0%; pintegration. In 55.8%, 63.6%, and 51.3% of hospital discharge reports, indications were given on when to perform the follow-up blood analysis, as well as information about returning to working life and sexual activity, respectively. The most common communication method was the paper-based report (75 vs. 84%; p=NS). The communication between healthcare levels was greater in those Primary Care centres with a higher level of integration, as well as periodicity of the communication and the satisfaction of physicians (80.0% vs. 63.0%; p=.005). The level of integration between PC and CA is, in general, satisfactory, but those centres with a higher level of integration benefit more from a greater communication and satisfaction. Copyright © 2018 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España, S.L.U. All rights reserved.

  2. The Goddard Snow Radiance Assimilation Project: An Integrated Snow Radiance and Snow Physics Modeling Framework for Snow/cold Land Surface Modeling

    Science.gov (United States)

    Kim, E.; Tedesco, M.; Reichle, R.; Choudhury, B.; Peters-Lidard C.; Foster, J.; Hall, D.; Riggs, G.

    2006-01-01

    Microwave-based retrievals of snow parameters from satellite observations have a long heritage and have so far been generated primarily by regression-based empirical "inversion" methods based on snapshots in time. Direct assimilation of microwave radiance into physical land surface models can be used to avoid errors associated with such retrieval/inversion methods, instead utilizing more straightforward forward models and temporal information. This approach has been used for years for atmospheric parameters by the operational weather forecasting community with great success. Recent developments in forward radiative transfer modeling, physical land surface modeling, and land data assimilation are converging to allow the assembly of an integrated framework for snow/cold lands modeling and radiance assimilation. The objective of the Goddard snow radiance assimilation project is to develop such a framework and explore its capabilities. The key elements of this framework include: a forward radiative transfer model (FRTM) for snow, a snowpack physical model, a land surface water/energy cycle model, and a data assimilation scheme. In fact, multiple models are available for each element enabling optimization to match the needs of a particular study. Together these form a modular and flexible framework for self-consistent, physically-based remote sensing and water/energy cycle studies. In this paper we will describe the elements and the integration plan. All modules will operate within the framework of the Land Information System (LIS), a land surface modeling framework with data assimilation capabilities running on a parallel-node computing cluster. Capabilities for assimilation of snow retrieval products are already under development for LIS. We will describe plans to add radiance-based assimilation capabilities. Plans for validation activities using field measurements will also be discussed.

  3. The Role of Research Coordination in Enhancing Integrative Research: the Co-production of Knowledge Agenda of the Global Land Programme

    Science.gov (United States)

    Scarpa, F. M.; Boillat, S. P.; Grove, J. M.

    2015-12-01

    The search for sustainability and resilience requires the integration of natural science with social science, as well as the joint production of knowledge and solutions by science and society. In this context, international science coordination initiatives, like Future Earth, have increasingly stressed the need to perform more integrated and more socially relevant research. This contribution has the objective to highlight the potential role of a research coordination initiative, the Global Land Programme (GLP), to provide guidance for more integrative research. The need to perform integrative research is particularly true for land systems, which include dynamic interactions among social and natural drivers that are often multifunctional. Thus, their governance and management is particularity complex and involve highly diverse stakeholders. A key aspect of integrative research is co-production of knowledge, understood as the interactive production of knowledge by both academics and non-academics, that leads to new forms of solutions-oriented knowledge. We relied on experiences of co-production of knowledge on land systems from the GLP network, and drove seven lessons learnt: 1) the importance of including several learning loops in the process, 2) the importance of long-term relationships, 3) the need to overcome the distinction between basic and applied science, 4) the opportunities offered by new communication technologies, 5) the need to train professionals in both breadth and depth, 6) the access to knowledge, and 7) the need to understand better the roles of scientists and decision-makers. These lessons were used to define action-research priorities for enhancing co-production of knowledge on land systems in GLP projects and working groups. As a conclusion, we argue that research coordination initiatives have the potential to provide analysis and guidance for more integrative research. This can be done by performing synthesis and self-reflection activities that

  4. Monitoring and Modeling of Spatiotemporal Urban Expansion and Land-Use/Land-Cover Change Using Integrated Markov Chain Cellular Automata Model

    Directory of Open Access Journals (Sweden)

    Bhagawat Rimal

    2017-09-01

    Full Text Available Spatial–temporal analysis of land-use/land-cover (LULC change as well as the monitoring and modeling of urban expansion are essential for the planning and management of urban environments. Such environments reflect the economic conditions and quality of life of the individual country. Urbanization is generally influenced by national laws, plans and policies and by power, politics and poor governance in many less-developed countries. Remote sensing tools play a vital role in monitoring LULC change and measuring the rate of urbanization at both the local and global levels. The current study evaluated the LULC changes and urban expansion of Jhapa district of Nepal. The spatial–temporal dynamics of LULC were identified using six time-series atmospherically-corrected surface reflectance Landsat images from 1989 to 2016. A hybrid cellular automata Markov chain (CA–Markov model was used to simulate future urbanization by 2026 and 2036. The analysis shows that the urban area has increased markedly and is expected to continue to grow rapidly in the future, whereas the area for agriculture has decreased. Meanwhile, forest and shrub areas have remained almost constant. Seasonal rainfall and flooding routinely cause predictable transformation of sand, water bodies and cultivated land from one type to another. The results suggest that the use of Landsat time-series archive images and the CA–Markov model are the best options for long-term spatiotemporal analysis and achieving an acceptable level of prediction accuracy. Furthermore, understanding the relationship between the spatiotemporal dynamics of urbanization and LULC change and simulating future landscape change is essential, as they are closely interlinked. These scientific findings of past, present and future land-cover scenarios of the study area will assist planners/decision-makers to formulate sustainable urban development and environmental protection plans and will remain a scientific asset

  5. Curriculum Integration in Distance Learning at Primary and Secondary Educational Levels on the Example of eTwinning Projects

    Directory of Open Access Journals (Sweden)

    Elżbieta Gajek

    2017-12-01

    Full Text Available Curriculum integration is one of the concepts which has been discussed for years. Telecollaborative projects, which employ elements of distance learning, provide opportunities for putting the idea into practice. Analysis of eTwinning projects undertaken in Polish schools aims at demonstrating the integrative role of distance learning approaches and their contribution to integration of various themes in educational context. As the eTwinning framework is very flexible, allowing for teacher and students autonomy the projects may vary in the topics, age and number of participants, duration scope within curriculum etc. The study shows various levels and perspectives of curriculum integration which take place in eTwinning projects. It also discusses the role of distance learning at primary and secondary educational levels. The challenge is to transform international collaboration of selected schools an everyday practice for all learners and teachers.

  6. Evolution, current structure, and role of a primary care clinical pharmacy service in an integrated managed care organization.

    Science.gov (United States)

    Heilmann, Rachel M F; Campbell, Stephanie M; Kroner, Beverly A; Proksel, Jenel R; Billups, Sarah J; Witt, Daniel M; Helling, Dennis K

    2013-01-01

    The impact of the declining number of primary care physicians is exacerbated by a growing elderly population in need of chronic disease management. Primary care clinical pharmacy specialists, with their unique knowledge and skill set, are well suited to address this gap. At Kaiser Permanente of Colorado (KPCO), primary care clinical pharmacy specialists have a long history of integration with medical practices and are located in close proximity to physicians, nurses, and other members of the health care team. Since 1992, Primary Care Clinical Pharmacy Services (PCCPS) has expanded from 4 to 30 full-time equivalents (FTEs) to provide services in all KPCO medical office buildings. With this growth in size, PCCPS has evolved to play a vital role in working with primary care medical teams to ensure that drug therapy is effective, safe, and affordable. In addition, PCCPS specialists provide ambulatory teaching sites for pharmacy students and pharmacy residents. There is approximately 1 specialist FTE for every 13,000 adult KPCO members and every 9 clinical FTEs of internal medicine and family medicine physicians. All clinical pharmacy specialists in the pharmacy department are required to have a PharmD degree, to complete postgraduate year 2 residencies, and, as a condition of employment, to become board certified in an applicable specialty. The evolution, current structure, and role of PCCPS at KPCO, including factors facilitating successful integration within the medical team, are highlighted. Patient and nonpatient care responsibilities are described.

  7. Integration of mental health resources in a primary care setting leads to increased provider satisfaction and patient access.

    Science.gov (United States)

    Vickers, Kristin S; Ridgeway, Jennifer L; Hathaway, Julie C; Egginton, Jason S; Kaderlik, Angela B; Katzelnick, David J

    2013-01-01

    This evaluation assessed the opinions and experiences of primary care providers and their support staff before and after implementation of expanded on-site mental health services and related system changes in a primary care clinic. Individual semistructured interviews, which contained a combination of open-ended questions and rating scales, were used to elicit opinions about mental health services before on-site system and resource changes occurred and repeated following changes that were intended to improve access to on-site mental health care. In the first set of interviews, prior to expanding mental health services, primary care providers and support staff were generally dissatisfied with the availability and scheduling of on-site mental health care. Patients were often referred outside the primary care clinic for mental health treatment, to the detriment of communication and coordinated care. Follow-up interviews conducted after expansion of mental health services, scheduling refinements and other system changes revealed improved provider satisfaction in treatment access and coordination of care. Providers appreciated immediate and on-site social worker availability to triage mental health needs and help access care, and on-site treatment was viewed as important for remaining informed about patient care the primary care providers are not delivering directly. Expanding integrated mental health services resulted in increased staff and provider satisfaction. Our evaluation identified key components of satisfaction, including on-site collaboration and assistance triaging patient needs. The sustainability of integrated models of care requires additional study. © 2013.

  8. Clinician perceptions and patient experiences of antiretroviral treatment integration in primary health care clinics, Tshwane, South Africa

    Directory of Open Access Journals (Sweden)

    Maphuthego D. Mathibe

    2015-10-01

    Full Text Available Background: Primary Health Care (PHC clinicians and patients are major role players in the South African antiretroviral treatment programme. Understanding their perceptions and experiences of integrated care and the management of people living with HIV and AIDS in PHC facilities is necessary for successful implementation and sustainability of integration. Objective: This study explored clinician perceptions and patient experiences of integration of antiretroviral treatment in PHC clinics. Method: An exploratory, qualitative study was conducted in four city of Tshwane PHC facilities. Two urban and two rural facilities following different models of integration were included. A self-administered questionnaire with open-ended items was completed by 35 clinicians and four focus group interviews were conducted with HIV-positive patients. The data were coded and categories were grouped into sub-themes and themes. Results: Workload, staff development and support for integration affected clinicians’ performance and viewpoints. They perceived promotion of privacy, reduced discrimination and increased access to comprehensive care as benefits of service integration. Delays, poor patient care and patient dissatisfaction were viewed as negative aspects of integration. In three facilities patients were satisfied with integration or semi-integration and felt common queues prevented stigma and discrimination, whilst the reverse was true in the facility with separate services. Single-month issuance of antiretroviral drugs and clinic schedule organisation was viewed negatively, as well as poor staff attitudes, poor communication and long waiting times. Conclusion: Although a fully integrated service model is preferable, aspects that need further attention are management support from health authorities for health facilities, improved working conditions and appropriate staff development opportunities.

  9. Clinician perceptions and patient experiences of antiretroviral treatment integration in primary health care clinics, Tshwane, South Africa.

    Science.gov (United States)

    Mathibe, Maphuthego D; Hendricks, Stephen J H; Bergh, Anne-Marie

    2015-10-02

    Primary Health Care (PHC) clinicians and patients are major role players in the South African antiretroviral treatment programme. Understanding their perceptions and experiences of integrated care and the management of people living with HIV and AIDS in PHC facilities is necessary for successful implementation and sustainability of integration. This study explored clinician perceptions and patient experiences of integration of antiretroviral treatment in PHC clinics. An exploratory, qualitative study was conducted in four city of Tshwane PHC facilities. Two urban and two rural facilities following different models of integration were included. A self-administered questionnaire with open-ended items was completed by 35 clinicians and four focus group interviews were conducted with HIV-positive patients. The data were coded and categories were grouped into sub-themes and themes. Workload, staff development and support for integration affected clinicians' performance and viewpoints. They perceived promotion of privacy, reduced discrimination and increased access to comprehensive care as benefits of service integration. Delays, poor patient care and patient dissatisfaction were viewed as negative aspects of integration. In three facilities patients were satisfied with integration or semi-integration and felt common queues prevented stigma and discrimination, whilst the reverse was true in the facility with separate services. Single-month issuance of antiretroviral drugs and clinic schedule organisation was viewed negatively, as well as poor staff attitudes, poor communication and long waiting times. Although a fully integrated service model is preferable, aspects that need further attention are management support from health authorities for health facilities, improved working conditions and appropriate staff development opportunities.

  10. P05.03. Integrative Primary Care Approach to Irritable Bowel Syndrome

    OpenAIRE

    Locke, Amy

    2013-01-01

    Focus Area: Integrative Approaches to Care Irritable bowel syndrome (IBS) is thought to affect 5% to 10% of the population and is likely a constellation of disorders resulting in abdominal pain, diarrhea, and/or constipation. This presentation will review the scientific evidence for common integrative treatments. A comprehensive integrative history often elucidates underlying factors contributing to symptoms. Assessment of the foundations of health, as with most conditions, is important for I...

  11. The Evidence-base for Using Ontologies and Semantic Integration Methodologies to Support Integrated Chronic Disease Management in Primary and Ambulatory Care: Realist Review. Contribution of the IMIA Primary Health Care Informatics WG.

    Science.gov (United States)

    Liyanage, H; Liaw, S-T; Kuziemsky, C; Terry, A L; Jones, S; Soler, J K; de Lusignan, S

    2013-01-01

    Most chronic diseases are managed in primary and ambulatory care. The chronic care model (CCM) suggests a wide range of community, technological, team and patient factors contribute to effective chronic disease management. Ontologies have the capability to enable formalised linkage of heterogeneous data sources as might be found across the elements of the CCM. To describe the evidence base for using ontologies and other semantic integration methods to support chronic disease management. We reviewed the evidence-base for the use of ontologies and other semantic integration methods within and across the elements of the CCM. We report them using a realist review describing the context in which the mechanism was applied, and any outcome measures. Most evidence was descriptive with an almost complete absence of empirical research and important gaps in the evidence-base. We found some use of ontologies and semantic integration methods for community support of the medical home and for care in the community. Ubiquitous information technology (IT) and other IT tools were deployed to support self-management support, use of shared registries, health behavioural models and knowledge discovery tools to improve delivery system design. Data quality issues restricted the use of clinical data; however there was an increased use of interoperable data and health system integration. Ontologies and semantic integration methods are emergent with limited evidence-base for their implementation. However, they have the potential to integrate the disparate community wide data sources to provide the information necessary for effective chronic disease management.

  12. The feasibility and acceptability of nurse-led chronic disease management interventions in primary care: An integrative review.

    Science.gov (United States)

    Stephen, Catherine; McInnes, Susan; Halcomb, Elizabeth

    2018-02-01

    To explore the feasibility and acceptability of nurse-led chronic disease management and lifestyle risk factor reduction interventions in primary care (general practice/family practice). Growing international evidence suggests that interventions delivered by primary care nurses can assist in modifying lifestyle risk factors and managing chronic disease. To date, there has been limited exploration of the feasibility and acceptability of such interventions. Integrative review guided by the work of Whittemore and Knafl (). Database search of CINAHL, Medline and Web of Science was conducted to identify relevant literature published between 2000-2015. Papers were assessed for methodological quality and data abstracted before thematic analysis was undertaken. Eleven papers met the inclusion criteria. Analysis uncovered four themes: (1) facilitators of interventions; (2) barriers to interventions; (3) consumer satisfaction; and (4) primary care nurse role. Literature supports the feasibility and acceptability of nurse-led interventions in primary care for lifestyle risk factor modification. The ongoing sustainability of these interventions rests largely on organizational factors such as funding, educational pathways and professional support of the primary care nursing role. Further robust research around primary care nurse interventions is required to strengthen the evidence base. © 2017 John Wiley & Sons Ltd.

  13. Accessibility appraisal of integrated land-use/transport policy strategies: more than just adding up travel time savings

    NARCIS (Netherlands)

    Geurs, Karst Teunis; Zondag, Barry; de Jong, Gerard; de Bok, Michiel

    2010-01-01

    We examine the accessibility benefits associated with some land-use policy strategies for the Netherlands that anticipate on expected climate change. A disaggregate logsum accessibility measure using the Dutch national land-use/transport interaction model TIGRIS XL is used to compute changes in

  14. Methodology of integrated land as containing transuranic; Metodologia de medida integrada de tierras con contenido de transuranidos

    Energy Technology Data Exchange (ETDEWEB)

    Correa Garces, E.; Saez Vergara, J. C.; Burgos Garcia, D.; Sancho Llerandi, C.

    2011-07-01

    The determination of the activity concentration of soil contaminated with transuranic on significant volumes is not trivial, is a technique that is necessary to evaluate the extent of large amounts of land (thousand m3) in restoration projects or to land contain americium or plutonium due to activities or incidents of the past.

  15. Evaluation of integrated assessment model hindcast experiments: a case study of the GCAM 3.0 land use module

    Science.gov (United States)

    Snyder, Abigail C.; Link, Robert P.; Calvin, Katherine V.

    2017-11-01

    Hindcasting experiments (conducting a model forecast for a time period in which observational data are available) are being undertaken increasingly often by the integrated assessment model (IAM) community, across many scales of models. When they are undertaken, the results are often evaluated using global aggregates or otherwise highly aggregated skill scores that mask deficiencies. We select a set of deviation-based measures that can be applied on different spatial scales (regional versus global) to make evaluating the large number of variable-region combinations in IAMs more tractable. We also identify performance benchmarks for these measures, based on the statistics of the observational dataset, that allow a model to be evaluated in absolute terms rather than relative to the performance of other models at similar tasks. An ideal evaluation method for hindcast experiments in IAMs would feature both absolute measures for evaluation of a single experiment for a single model and relative measures to compare the results of multiple experiments for a single model or the same experiment repeated across multiple models, such as in community intercomparison studies. The performance benchmarks highlight the use of this scheme for model evaluation in absolute terms, providing information about the reasons a model may perform poorly on a given measure and therefore identifying opportunities for improvement. To demonstrate the use of and types of results possible with the evaluation method, the measures are applied to the results of a past hindcast experiment focusing on land allocation in the Global Change Assessment Model (GCAM) version 3.0. The question of how to more holistically evaluate models as complex as IAMs is an area for future research. We find quantitative evidence that global aggregates alone are not sufficient for evaluating IAMs that require global supply to equal global demand at each time period, such as GCAM. The results of this work indicate it is

  16. Opportunities in the integration of primary care and public health nursing: Two case exemplars on physical activity and nutrition.

    Science.gov (United States)

    Evans-Agnew, Robin A; Mayer, Kala A; Miller, Lori L L

    2018-01-01

    The integration of primary care and public health nursing may provide new opportunities for transforming nursing practice that addresses population health. Effective programs emphasize multilevel approaches that include both downstream (education) and upstream (policy change) actions. The purpose of this article is to identify downstream and upstream nursing actions that integrate public health and primary care practice through two case exemplars concerning disparities in physical activity and nutrition. Describe two research case exemplars: (1) a secondary analysis of school physical activity policy for female adolescents in 36 public middle schools and (2) a focus group study of African American adults in a community kitchen program. In exemplar 1, school policies lacked population-based standards and presented structural disadvantages to African American girls who were already obese. In exemplar 2, participants found the community kitchen program to be more effective than the federally funded nutrition program. Integrating primary care and public health nursing could improve the tailoring of physical activity and nutrition programs to local populations by following core principles of community engagement, infrastructural sustainability, aligned leadership, and data sharing for population health improvement. © 2017 Wiley Periodicals, Inc.

  17. THE PERFORMANCE OF A TIGHT INS/GNSS/PHOTOGRAMMETRIC INTEGRATION SCHEME FOR LAND BASED MMS APPLICATIONS IN GNSS DENIED ENVIRONMENTS

    Directory of Open Access Journals (Sweden)

    C.-H. Chu

    2016-06-01

    Full Text Available The early development of mobile mapping system (MMS was restricted to applications that permitted the determination of the elements of exterior orientation from existing ground control. Mobile mapping refers to a means of collecting geospatial data using mapping sensors that are mounted on a mobile platform. Research works concerning mobile mapping dates back to the late 1980s. This process is mainly driven by the need for highway infrastructure mapping and transportation corridor inventories. In the early nineties, advances in satellite and inertial technology made it possible to think about mobile mapping in a different way. Instead of using ground control points as references for orienting the images in space, the trajectory and attitude of the imager platform could now be determined directly. Cameras, along with navigation and positioning sensors are integrated and mounted on a land vehicle for mapping purposes. Objects of interest can be directly measured and mapped from images that have been georeferenced using navigation and positioning sensors. Direct georeferencing (DG is the determination of time-variable position and orientation parameters for a mobile digital imager. The most common technologies used for this purpose today are satellite positioning using the Global Navigation Satellite System (GNSS and inertial navigation using an Inertial Measuring Unit (IMU. Although either technology used along could in principle determine both position and orientation, they are usually integrated in such a way that the IMU is the main orientation sensor, while the GNSS receiver is the main position sensor. However, GNSS signals are obstructed due to limited number of visible satellites in GNSS denied environments such as urban canyon, foliage, tunnel and indoor that cause the GNSS gap or interfered by reflected signals that cause abnormal measurement residuals thus deteriorates the positioning accuracy in GNSS denied environments. This study aims

  18. An Investigation of Visual Contour Integration Ability in Relation to Writing Performance in Primary School Students

    Science.gov (United States)

    Li-Tsang, Cecilia W. P.; Wong, Agnes S. K.; Chan, Jackson Y.; Lee, Amos Y. T.; Lam, Miko C. Y.; Wong, C. W.; Lu, Zhonglin

    2012-01-01

    A previous study found a visual deficit in contour integration in English readers with dyslexia (Simmers & Bex, 2001). Visual contour integration may play an even more significant role in Chinese handwriting particularly due to its logographic presentation (Lam, Au, Leung, & Li-Tsang, 2011). The current study examined the relationship…

  19. Collaborative modeling of an implementation strategy: a case study to integrate health promotion in primary and community care.

    Science.gov (United States)

    Grandes, Gonzalo; Sanchez, Alvaro; Cortada, Josep M; Pombo, Haizea; Martinez, Catalina; Balagué, Laura; Corrales, Mary Helen; de la Peña, Enrique; Mugica, Justo; Gorostiza, Esther

    2017-12-06

    Evidence-based interventions are more likely to be adopted if practitioners collaborate with researchers to develop an implementation strategy. This paper describes the steps to plan and execute a strategy, including the development of structure and supports needed for implementing proven health promotion interventions in primary and community care. Between 10 and 13 discussion and consensus sessions were performed in four highly-motivated primary health care centers involving 80% of the primary care staff and 21 community-based organizations. All four centers chose to address physical activity, diet, and smoking. They selected the 5 A's evidence-based clinical intervention to be adapted to the context of the health centers. The planned implementation strategy worked at multiple levels: bottom-up primary care organizational change, top-down support from managers, community involvement, and the development of innovative e-health information and communication tools. Shared decision making and practice facilitation were perceived as the most positive aspects of the collaborative modeling process, which took more time than expected, especially the development of the new e-health tools integrated into electronic health records. Collaborative modeling of an implementation strategy for the integration of health promotion in primary and community care was feasible in motivated centers. However, it was difficult, being hindered by the heavy workload in primary care and generating uncertainty inherent to a bottom-up decision making processes. Lessons from this experience could be useful in diverse settings and for other clinical interventions. Two companion papers report the evaluation of its feasibility and assess quantitatively and qualitatively the implementation process.

  20. Synthetic Constraint of Ecosystem C Models Using Radiocarbon and Net Primary Production (NPP) in New Zealand Grazing Land

    Science.gov (United States)

    Baisden, W. T.

    2011-12-01

    land, these estimates can be derived primarily from measured aboveground NPP and calculated belowground NPP. Results suggest that only 19-36% of heterotrophic soil respiration is derived from the soil C with rapid turnover times. A final logical step in synthesis is the analysis of temporal variation in NPP, primarily due to climate, as driver of changes in plant inputs and resulting in dynamic changes in rapid and decadal soil C pools. In sites with good time series samples from 1959-1975, we examine the apparent impacts of measured or modelled (Biome-BGC) NPP on soil Δ14C. Ultimately, these approaches have the ability to empirically constrain, and provide limited verification, of the soil C cycle as commonly depicted ecosystem biogeochemistry models.

  1. The relationship between technology leadership roles and profiles of school principals and technology integration in primary school classrooms

    Directory of Open Access Journals (Sweden)

    Mustafa SAMANCIOĞLU

    2015-12-01

    Full Text Available The purpose of this study was to investigate the relationship between technology leadership behaviors of school principals and teachers’ level of technology integration, and to determine technology leadership profiles based on teacher views and examine their association with technology integration. The researchers administered two questionnaires to 352 teachers working at sixteen primary schools in a large city in southeastern Turkey. The results revealed a positive, but weak relationship between technology leadership and technology integration. Furthermore, it was concluded that there were positive but weak relationships among technology integration and human centeredness, communication and collaboration, vision and support sub-dimensions of technology leadership. Two technology leadership profiles (high-TLP=65.6% and low-TLP=34.4% were constructed as a result of cluster analysis. A statistically significant difference was detected between teachers’ technology integration perceptions which were categorized into two profiles. The paper concludes by suggestions for implications to strengthen the link between technology leadership and technology integration.

  2. A modified integrated NDVI for improving estimates of terrestrial net primary production

    Science.gov (United States)

    Running, Steven W.

    1990-01-01

    Logic is presented for a time-integrated NDVI that is modified by an AVHRR derived surface evaporation resistance factor sigma, and truncated by temperatures that cause plant dormancy, to improve environmental sensitivity. With this approach, NDVI observed during subfreezing temperatures is not integrated. Water stress-related impairment in plant activity is incorporated by reducing the effective NDVI at each integration with sigma, which is derived from the slope of the surface temperature to NDVI ratio for climatically similar zones of the scene. A comparison of surface resistance before and after an extended drought period for a 1200 sq km region of coniferous forest in Montana is presented.

  3. Precipitation and Carbon-Water Coupling Jointly Control the Interannual Variability of Global Land Gross Primary Production

    Science.gov (United States)

    Zhang, Yao; Xiao, Xiangming; Guanter, Luis; Zhou, Sha; Ciais, Philippe; Joiner, Joanna; Sitch, Stephen; Wu, Xiaocui; Nabel, Julian; Dong, Jinwei; hide

    2016-01-01

    Carbon uptake by terrestrial ecosystems is increasing along with the rising of atmospheric CO2 concentration. Embedded in this trend, recent studies suggested that the interannual variability (IAV) of global carbon fluxes may be dominated by semi-arid ecosystems, but the underlying mechanisms of this high variability in these specific regions are not well known. Here we derive an ensemble of gross primary production (GPP) estimates using the average of three data-driven models and eleven process-based models. These models are weighted by their spatial representativeness of the satellite-based solar-induced chlorophyll fluorescence (SIF). We then use this weighted GPP ensemble to investigate the GPP variability for different aridity regimes. We show that semi-arid regions contribute to 57% of the detrended IAV of global GPP. Moreover, in regions with higher GPP variability, GPP fluctuations are mostly controlled by precipitation and strongly coupled with evapotranspiration (ET). This higher GPP IAV in semi-arid regions is co-limited by supply (precipitation)-induced ET variability and GPP-ET coupling strength. Our results demonstrate the importance of semi-arid regions to the global terrestrial carbon cycle and posit that there will be larger GPP and ET variations in the future with changes in precipitation patterns and dryland expansion.

  4. Global market integration increases likelihood that a future African Green Revolution could increase crop land use and CO2 emissions.

    Science.gov (United States)

    Hertel, Thomas W; Ramankutty, Navin; Baldos, Uris Lantz C

    2014-09-23

    There has been a resurgence of interest in the impacts of agricultural productivity on land use and the environment. At the center of this debate is the assertion that agricultural innovation is land sparing. However, numerous case studies and global empirical studies have found little evidence of higher yields being accompanied by reduced area. We find that these studies overlook two crucial factors: estimation of a true counterfactual scenario and a tendency to adopt a regional, rather than a global, perspective. This paper introduces a general framework for analyzing the impacts of regional and global innovation on long run crop output, prices, land rents, land use, and associated CO2 emissions. In so doing, it facilitates a reconciliation of the apparently conflicting views of the impacts of agricultural productivity growth on global land use and environmental quality. Our historical analysis demonstrates that the Green Revolution in Asia, Latin America, and the Middle East was unambiguously land and emissions sparing, compared with a counterfactual world without these innovations. In contrast, we find that the environmental impacts of a prospective African Green Revolution are potentially ambiguous. We trace these divergent outcomes to relative differences between the innovating region and the rest of the world in yields, emissions efficiencies, cropland supply response, and intensification potential. Globalization of agriculture raises the potential for adverse environmental consequences. However, if sustained for several decades, an African Green Revolution will eventually become land sparing.

  5. Global market integration increases likelihood that a future African Green Revolution could increase crop land use and CO2 emissions

    Science.gov (United States)

    Hertel, Thomas W.; Ramankutty, Navin; Baldos, Uris Lantz C.

    2014-01-01

    There has been a resurgence of interest in the impacts of agricultural productivity on land use and the environment. At the center of this debate is the assertion that agricultural innovation is land sparing. However, numerous case studies and global empirical studies have found little evidence of higher yields being accompanied by reduced area. We find that these studies overlook two crucial factors: estimation of a true counterfactual scenario and a tendency to adopt a regional, rather than a global, perspective. This paper introduces a general framework for analyzing the impacts of regional and global innovation on long run crop output, prices, land rents, land use, and associated CO2 emissions. In so doing, it facilitates a reconciliation of the apparently conflicting views of the impacts of agricultural productivity growth on global land use and environmental quality. Our historical analysis demonstrates that the Green Revolution in Asia, Latin America, and the Middle East was unambiguously land and emissions sparing, compared with a counterfactual world without these innovations. In contrast, we find that the environmental impacts of a prospective African Green Revolution are potentially ambiguous. We trace these divergent outcomes to relative differences between the innovating region and the rest of the world in yields, emissions efficiencies, cropland supply response, and intensification potential. Globalization of agriculture raises the potential for adverse environmental consequences. However, if sustained for several decades, an African Green Revolution will eventually become land sparing. PMID:25201962

  6. Integrating land use and climate change scenarios and models into assessment of forested watershed services in Southern Thailand.

    Science.gov (United States)

    Trisurat, Yongyut; Eawpanich, Piyathip; Kalliola, Risto

    2016-05-01

    The Thadee watershed, covering 112km(2), is the main source of water for agriculture and household consumption in the Nakhon Srithammarat Province in Southern Thailand. As the natural forests upstream have been largely degraded and transformed to fruit tree and rubber plantations, problems with landslides and flooding have resulted. This research attempts to predict how further land-use/land-cover changes during 2009-2020 and conceivable changes in rainfall may influence the future levels of water yield and sediment load in the Thadee River. Three different land use scenarios (trend, development and conservation) were defined in collaboration with the local stakeholders, and three different rainfall scenarios (average rainfall, climate change and extreme wet) were determined on the basis of literature sources. Spatially explicit empirical modelling was employed to allocate future land demands and to assess the contributions of land use and rainfall changes, considering both their separate and combined effects. The results suggest that substantial land use changes may occur from a large expansion of rubber plantations in the upper sub-watersheds, especially under the development land use scenario. The reduction of the current annual rainfall by approximately 30% would decrease the predicted water yields by 38% from 2009. According to the extreme rainfall scenario (an increase of 36% with respect to current rainfall), an amplification of 50% of the current runoff could result. Sensitivity analyses showed that the predicted soil loss is more responsive to changes in rainfall than to the compared land use scenarios alone. However, very high sediment load and runoff levels were predicted on the basis of combined intensified land use and extreme rainfall scenarios. Three conservation activities-protection, reforestation and a mixed-cropping system-are proposed to maintain the functional watershed services of the Thadee watershed region. Copyright © 2016 Elsevier Inc

  7. Assessing the facilitators and barriers of interdisciplinary team working in primary care using normalisation process theory: An integrative review.

    Science.gov (United States)

    O'Reilly, Pauline; Lee, Siew Hwa; O'Sullivan, Madeleine; Cullen, Walter; Kennedy, Catriona; MacFarlane, Anne

    2017-01-01

    Interdisciplinary team working is of paramount importance in the reform of primary care in order to provide cost-effective and comprehensive care. However, international research shows that it is not routine practice in many healthcare jurisdictions. It is imperative to understand levers and barriers to the implementation process. This review examines interdisciplinary team working in practice, in primary care, from the perspective of service providers and analyses 1 barriers and facilitators to implementation of interdisciplinary teams in primary care and 2 the main research gaps. An integrative review following the PRISMA guidelines was conducted. Following a search of 10 international databases, 8,827 titles were screened for relevance and 49 met the criteria. Quality of evidence was appraised using predetermined criteria. Data were analysed following the principles of framework analysis using Normalisation Process Theory (NPT), which has four constructs: sense making, enrolment, enactment, and appraisal. The literature is dominated by a focus on interdisciplinary working between physicians and nurses. There is a dearth of evidence about all NPT constructs apart from enactment. Physicians play a key role in encouraging the enrolment of others in primary care team working and in enabling effective divisions of labour in the team. The experience of interdisciplinary working emerged as a lever for its implementation, particularly where communication and respect were strong between professionals. A key lever for interdisciplinary team working in primary care is to get professionals working together and to learn from each other in practice. However, the evidence base is limited as it does not reflect the experiences of all primary care professionals and it is primarily about the enactment of team working. We need to know much more about the experiences of the full network of primary care professionals regarding all aspects of implementation work. International

  8. Assessing the facilitators and barriers of interdisciplinary team working in primary care using normalisation process theory: An integrative review

    Science.gov (United States)

    O’Reilly, Pauline; Lee, Siew Hwa; O’Sullivan, Madeleine; Cullen, Walter; Kennedy, Catriona; MacFarlane, Anne

    2017-01-01

    Background Interdisciplinary team working is of paramount importance in the reform of primary care in order to provide cost-effective and comprehensive care. However, international research shows that it is not routine practice in many healthcare jurisdictions. It is imperative to understand levers and barriers to the implementation process. This review examines interdisciplinary team working in practice, in primary care, from the perspective of service providers and analyses 1 barriers and facilitators to implementation of interdisciplinary teams in primary care and 2 the main research gaps. Methods and findings An integrative review following the PRISMA guidelines was conducted. Following a search of 10 international databases, 8,827 titles were screened for relevance and 49 met the criteria. Quality of evidence was appraised using predetermined criteria. Data were analysed following the principles of framework analysis using Normalisation Process Theory (NPT), which has four constructs: sense making, enrolment, enactment, and appraisal. The literature is dominated by a focus on interdisciplinary working between physicians and nurses. There is a dearth of evidence about all NPT constructs apart from enactment. Physicians play a key role in encouraging the enrolment of others in primary care team working and in enabling effective divisions of labour in the team. The experience of interdisciplinary working emerged as a lever for its implementation, particularly where communication and respect were strong between professionals. Conclusion A key lever for interdisciplinary team working in primary care is to get professionals working together and to learn from each other in practice. However, the evidence base is limited as it does not reflect the experiences of all primary care professionals and it is primarily about the enactment of team working. We need to know much more about the experiences of the full network of primary care professionals regarding all aspects

  9. How do primary health care teams learn to integrate intimate partner violence (IPV) management? A realist evaluation protocol.

    Science.gov (United States)

    Goicolea, Isabel; Vives-Cases, Carmen; San Sebastian, Miguel; Marchal, Bruno; Kegels, Guy; Hurtig, Anna-Karin

    2013-03-23

    Despite the existence of ample literature dealing, on the one hand, with the integration of innovations within health systems and team learning, and, on the other hand, with different aspects of the detection and management of intimate partner violence (IPV) within healthcare facilities, research that explores how health innovations that go beyond biomedical issues-such as IPV management-get integrated into health systems, and that focuses on healthcare teams' learning processes is, to the best of our knowledge, very scarce if not absent. This realist evaluation protocol aims to ascertain: why, how, and under what circumstances primary healthcare teams engage (if at all) in a learning process to integrate IPV management in their practices; and why, how, and under what circumstances team learning processes lead to the development of organizational culture and values regarding IPV management, and the delivery of IPV management services. This study will be conducted in Spain using a multiple-case study design. Data will be collected from selected cases (primary healthcare teams) through different methods: individual and group interviews, routinely collected statistical data, documentary review, and observation. Cases will be purposively selected in order to enable testing the initial middle-range theory (MRT). After in-depth exploration of a limited number of cases, additional cases will be chosen for their ability to contribute to refining the emerging MRT to explain how primary healthcare learn to integrate intimate partner violence management. Evaluations of health sector responses to IPV are scarce, and even fewer focus on why, how, and when the healthcare services integrate IPV management. There is a consensus that healthcare professionals and healthcare teams play a key role in this integration, and that training is important in order to realize changes. However, little is known about team learning of IPV management, both in terms of how to trigger such learning

  10. Integrating satellite retrieved leaf chlorophyll into land surface models for constraining simulations of water and carbon fluxes

    KAUST Repository

    Houborg, Rasmus; Cescatti, Alessandro; Gitelson, Anatoly A.

    2013-01-01

    variability exists. Satellite remote sensing can support modeling efforts by offering distributed information on important land surface characteristics, which would be very difficult to obtain otherwise. This study investigates the utility of satellite based

  11. Integration of oral health in primary health care through motivational interviewing for mothers of young children: A pilot study.

    Science.gov (United States)

    Batra, Manu; Shah, Aasim Farooq; Virtanen, Jorma I

    2018-01-01

    Early childhood caries (ECC) continues to affect children worldwide. In India, primary health centers (PHCs) comprises the primary tier where Accredited Social Health Activist (ASHA) provide integrated curative and preventive health care. The aim of the study was to pilot test the integration of oral health in primary health care through motivational interviewing (MI) for mothers of young children provided by ASHAs. The pilot study was conducted in Kashipur, Uttarakhand. From the six PHCs in Kashipur, three were randomly selected, one each was assigned to MI group, traditional health education group, and control group. From 60 mothers with 8-12 months child, ASHAs of all three groups gathered mother's knowledge regarding child's oral health using close-ended questionnaire and diagnosed clinical risk markers of ECC in children and ASHAs of Group A and B imparted the oral health education as per their training. The comparison of ASHA's performances on the MI training competency pre- and post-test showed an overall average of 74% improvement in post-test scores. Interexaminer reliability of the parallel clinical measurements by 6 ASHAs and the investigator for the maxillary central incisors showed 93% of agreement for both dental plaque and dental caries assessment with 0.86 and 0.89 kappa values, respectively. The health education through MI is feasible and can be cost-effective by utilization of ASHAs at PHCs to provide the oral health education to mothers which will in turn improve the oral health status of children.

  12. Integrating a suicide prevention program into the primary health care network: a field trial study in Iran.

    Science.gov (United States)

    Malakouti, Seyed Kazem; Nojomi, Marzieh; Poshtmashadi, Marjan; Hakim Shooshtari, Mitra; Mansouri Moghadam, Fariba; Rahimi-Movaghar, Afarin; Afghah, Susan; Bolhari, Jafar; Bazargan-Hejazi, Shahrzad

    2015-01-01

    To describe and evaluate the feasibility of integrating a suicide prevention program with Primary Health Care services and evaluate if such system can improve screening and identification of depressive disorder, reduce number of suicide attempters, and lower rate of suicide completion. This was a quasi-experimental trial in which one community was exposed to the intervention versus the control community with no such exposure. The study sites were two counties in Western Iran. The intervention protocol called for primary care and suicide prevention collaboration at different levels of care. The outcome variables were the number of suicides committed, the number of documented suicide attempts, and the number of identified depressed cases. We identified a higher prevalence of depressive disorders in the intervention site versus the control site (χ (2) = 14.8, P suicide completion in the intervention region compared to the control, but a higher prevalence of suicide attempts in both the intervention and the control sites. Integrating a suicide prevention program with the Primary Health Care network enhanced depression and suicide surveillance capacity and subsequently reduced the number of suicides, especially in rural areas.

  13. Integrating a Suicide Prevention Program into the Primary Health Care Network: A Field Trial Study in Iran

    Directory of Open Access Journals (Sweden)

    Seyed Kazem Malakouti

    2015-01-01

    Full Text Available Objective. To describe and evaluate the feasibility of integrating a suicide prevention program with Primary Health Care services and evaluate if such system can improve screening and identification of depressive disorder, reduce number of suicide attempters, and lower rate of suicide completion. Methodology. This was a quasi-experimental trial in which one community was exposed to the intervention versus the control community with no such exposure. The study sites were two counties in Western Iran. The intervention protocol called for primary care and suicide prevention collaboration at different levels of care. The outcome variables were the number of suicides committed, the number of documented suicide attempts, and the number of identified depressed cases. Results. We identified a higher prevalence of depressive disorders in the intervention site versus the control site (χ2=14.8, P<0.001. We also found a reduction in the rate of suicide completion in the intervention region compared to the control, but a higher prevalence of suicide attempts in both the intervention and the control sites. Conclusion. Integrating a suicide prevention program with the Primary Health Care network enhanced depression and suicide surveillance capacity and subsequently reduced the number of suicides, especially in rural areas.

  14. Helicopter Field Testing of NASA's Autonomous Landing and Hazard Avoidance Technology (ALHAT) System fully Integrated with the Morpheus Vertical Test Bed Avionics

    Science.gov (United States)

    Epp, Chirold D.; Robertson, Edward A.; Ruthishauser, David K.

    2013-01-01

    The Autonomous Landing and Hazard Avoidance Technology (ALHAT) Project was chartered to develop and mature to a Technology Readiness Level (TRL) of six an autonomous system combining guidance, navigation and control with real-time terrain sensing and recognition functions for crewed, cargo, and robotic planetary landing vehicles. The ALHAT System must be capable of identifying and avoiding surface hazards to enable a safe and accurate landing to within tens of meters of designated and certified landing sites anywhere on a planetary surface under any lighting conditions. This is accomplished with the core sensing functions of the ALHAT system: Terrain Relative Navigation (TRN), Hazard Detection and Avoidance (HDA), and Hazard Relative Navigation (HRN). The NASA plan for the ALHAT technology is to perform the TRL6 closed loop demonstration on the Morpheus Vertical Test Bed (VTB). The first Morpheus vehicle was lost in August of 2012 during free-flight testing at Kennedy Space Center (KSC), so the decision was made to perform a helicopter test of the integrated ALHAT System with the Morpheus avionics over the ALHAT planetary hazard field at KSC. The KSC helicopter tests included flight profiles approximating planetary approaches, with the entire ALHAT system interfaced with all appropriate Morpheus subsystems and operated in real-time. During these helicopter flights, the ALHAT system imaged the simulated lunar terrain constructed in FY2012 to support ALHAT/Morpheus testing at KSC. To the best of our knowledge, this represents the highest fidelity testing of a system of this kind to date. During this helicopter testing, two new Morpheus landers were under construction at the Johnson Space Center to support the objective of an integrated ALHAT/Morpheus free-flight demonstration. This paper provides an overview of this helicopter flight test activity, including results and lessons learned, and also provides an overview of recent integrated testing of ALHAT on the second

  15. Parametric Pedagogy: Integrating Parametric CAD in Irish Post-Primary Schools

    Science.gov (United States)

    McGarr, Oliver; Seery, Niall

    2011-01-01

    Technology education in Irish post-primary schools is undergoing significant change. In recent years the syllabi of all technology-related subjects have been revised. A new subject, Design and Communication Graphics, has replaced the traditional Technical Drawing subject. This new subject aims to develop students' spatial awareness and graphical…

  16. How are Leaders Integrating the Ideology of Globalisation in Primary School Contexts?

    Science.gov (United States)

    Mistry, Malini; Sood, Krishan

    2013-01-01

    This study carried out research focusing on diverse learners, such as pupils who have English as additional language (EAL) in primary schools in the Midlands, England. Essentially, we wanted to know how they are supported to become global learners. Therefore, questions were posed to school leaders on their understanding of the concept of…

  17. Administrative Challenges to the Integration of Oral Health With Primary Care

    Science.gov (United States)

    Maxey, Hannah L.; Randolph, Courtney; Gano, Laura; Kochhar, Komal

    2017-01-01

    Inadequate access to preventive oral health services contributes to oral health disparities and is a major public health concern in the United States. Federally Qualified Health Centers play a critical role in improving access to care for populations affected by oral health disparities but face a number of administrative challenges associated with implementation of oral health integration models. We conducted a SWOT (strengths, weaknesses, opportunities, and threats) analysis with health care executives to identify strengths, weaknesses, opportunities, and threats of successful oral health integration in Federally Qualified Health Centers. Four themes were identified: (1) culture of health care organizations; (2) operations and administration; (3) finance; and (4) workforce. PMID:27218701

  18. Sensitivity of an Integrated Mesoscale Atmosphere and Agriculture Land Modeling System (WRF/CMAQ-EPIC) to MODIS Vegetation and Lightning Assimilation

    Science.gov (United States)

    Ran, L.; Cooter, E. J.; Gilliam, R. C.; Foroutan, H.; Kang, D.; Appel, W.; Wong, D. C.; Pleim, J. E.; Benson, V.; Pouliot, G.

    2017-12-01

    The combined meteorology and air quality modeling system composed of the Weather Research and Forecast (WRF) model and Community Multiscale Air Quality (CMAQ) model is an important decision support tool that is used in research and regulatory decisions related to emissions, meteorology, climate, and chemical transport. The Environmental Policy Integrated Climate (EPIC) is a cropping model which has long been used in a range of applications related to soil erosion, crop productivity, climate change, and water quality around the world. We have integrated WRF/CMAQ with EPIC using the Fertilizer Emission Scenario Tool for CMAQ (FEST-C) to estimate daily soil N information with fertilization for CMAQ bi-directional ammonia flux modeling. Driven by the weather and N deposition from WRF/CMAQ, FEST-C EPIC simulations are conducted on 22 different agricultural production systems ranging from managed grass lands (e.g. hay and alfalfa) to crop lands (e.g. corn grain and soybean) with rainfed and irrigated information across any defined conterminous United States (U.S.) CMAQ domain and grid resolution. In recent years, this integrated system has been enhanced and applied in many different air quality and ecosystem assessment projects related to land-water-atmosphere interactions. These enhancements have advanced this system to become a valuable tool for integrated assessments of air, land and water quality in light of social drivers and human and ecological outcomes. This presentation will focus on evaluating the sensitivity of precipitation and N deposition in the integrated system to MODIS vegetation input and lightning assimilation and their impacts on agricultural production and fertilization. We will describe the integrated modeling system and evaluate simulated precipitation and N deposition along with other weather information (e.g. temperature, humidity) for 2011 over the conterminous U.S. at 12 km grids from a coupled WRF/CMAQ with MODIS and lightning assimilation

  19. Teacher Professional Development for Technology Integration in a Primary School Learning Community

    Science.gov (United States)

    Liu, Shih-Hsiung

    2013-01-01

    Teacher professional development (TPD) can benefit teachers in classrooms. This study contributes to an understanding of TPD processes where there is sufficient technology integration through teacher participation in a school-based community. It assesses the effectiveness of TPD and its potential problems. Qualitative research methods are used to…

  20. The Integration of Pedagogical Aspects in Environmental Management Systems in Selected South African Primary Schools

    Science.gov (United States)

    Kanyimba, Alex; Richter, Barry; Raath, Schalk

    2015-01-01

    Environmental management systems implemented in schools are regarded by many as a mechanism for the integration of environmental matters in all the operational functions of the school. The links, however, between environmental management and curriculum practice have not been adequately addressed in the literature. This article reports on the…

  1. Supporting the Language Development of Limited English Proficient Students through Arts Integration in the Primary Grades

    Science.gov (United States)

    Brouillette, Liane

    2012-01-01

    This article looks at how arts integration can boost the language development of limited English proficient students in kindergarten through second grade. I first review existing research on how young children learn and describe the special challenges faced by children who must learn in an unfamiliar language. I then identify arts-based mechanisms…

  2. Content and Language Integrated Learning through an Online Game in Primary School: A Case Study

    Science.gov (United States)

    Dourda, Kyriaki; Bratitsis, Tharrenos; Griva, Eleni; Papadopoulou, Penelope

    2014-01-01

    In this paper an educational design proposal is presented which combines two well established teaching approaches, that of Game-based Learning (GBL) and Content and Language Integrated Learning (CLIL). The context of the proposal was the design of an educational geography computer game, utilizing QR Codes and Google Earth for teaching English…

  3. Sulfur Dioxide (SO2) Primary NAAQS Review: Integrated Review Plan - Advisory with CASAC

    Science.gov (United States)

    The SO2 Integrated Review Plan is the first document generated as part of the National Ambient Air Quality Standards (NAAQS) review process. The Plan presents background information, the schedule for the review, the process to be used in conducting the review, and the key policy-...

  4. Workshop: integration of care at the interface of primary and secondary care: work in progress.

    NARCIS (Netherlands)

    Zee, J. van der

    2010-01-01

    Background and aim: Existing health care arrangements do not always provide a well-organized response to health problems occurring in society. Inadequate coordination of care for people with chronic conditions or elderly in need for home care services provide examples of important integration issues

  5. Collaborative Digital Games as Mediation Tool to Foster Intercultural Integration in Primary Dutch Schools

    NARCIS (Netherlands)

    A. Paz Alencar (Amanda); T. de la Hera Conde-Pumpido (Teresa)

    2015-01-01

    textabstractIn the Netherlands, the growing presence of immigrant children in schools has fueled scholarly interest in and concerns for examining the process of integration in school environments. The use of digital games has found to be an effective tool to reinforce teaching/learning practices.

  6. Collaboration processes and perceived effectiveness of integrated care projects in primary care: a longitudinal mixed-methods study.

    Science.gov (United States)

    Valentijn, Pim P; Ruwaard, Dirk; Vrijhoef, Hubertus J M; de Bont, Antoinette; Arends, Rosa Y; Bruijnzeels, Marc A

    2015-10-09

    Collaborative partnerships are considered an essential strategy for integrating local disjointed health and social services. Currently, little evidence is available on how integrated care arrangements between professionals and organisations are achieved through the evolution of collaboration processes over time. The first aim was to develop a typology of integrated care projects (ICPs) based on the final degree of integration as perceived by multiple stakeholders. The second aim was to study how types of integration differ in changes of collaboration processes over time and final perceived effectiveness. A longitudinal mixed-methods study design based on two data sources (surveys and interviews) was used to identify the perceived degree of integration and patterns in collaboration among 42 ICPs in primary care in The Netherlands. We used cluster analysis to identify distinct subgroups of ICPs based on the final perceived degree of integration from a professional, organisational and system perspective. With the use of ANOVAs, the subgroups were contrasted based on: 1) changes in collaboration processes over time (shared ambition, interests and mutual gains, relationship dynamics, organisational dynamics and process management) and 2) final perceived effectiveness (i.e. rated success) at the professional, organisational and system levels. The ICPs were classified into three subgroups with: 'United Integration Perspectives (UIP)', 'Disunited Integration Perspectives (DIP)' and 'Professional-oriented Integration Perspectives (PIP)'. ICPs within the UIP subgroup made the strongest increase in trust-based (mutual gains and relationship dynamics) as well as control-based (organisational dynamics and process management) collaboration processes and had the highest overall effectiveness rates. On the other hand, ICPs with the DIP subgroup decreased on collaboration processes and had the lowest overall effectiveness rates. ICPs within the PIP subgroup increased in control

  7. Unmanned Aircraft Systems (UAS) Integration in the National Airspace System (NAS) Project: Terminal Operations HITL 1B Primary Results

    Science.gov (United States)

    Rorie, Conrad; Monk, Kevin; Roberts, Zach; Brandt, Summer

    2018-01-01

    This presentation provides an overview of the primary results from the Unmanned Aircraft Systems (UAS) Integration in the National Airspace System (NAS) Project's second Terminal Operations human-in-the-loop simulation. This talk covers the background of this follow-on experiment, which includes an overview of the first Terminal Operations HITL performed by the project. The primary results include a look at the number and durations of detect and avoid (DAA) alerts issued by the two DAA systems under test. It also includes response time metrics and metrics on the ability of the pilot-in-command (PIC) to maintain sufficient separation. Additional interoperability metrics are included to illustrate how pilots interact with the tower controller. Implications and conclusions are covered at the end.

  8. Exploring “Speak-O-Rama” as a Public Speaking Module: A Pilot Study in an Islamic Integrated Primary School

    Directory of Open Access Journals (Sweden)

    Nurul Iman Ahmad Bukhari

    2017-01-01

    Full Text Available This paper describes the pilot study in implementing a public speaking module for a primary school level. The module development was structured according to ASSURE Model with the Communicative Language Teaching (CLT as the basis used in designing the module activities.  One group of Year 4 students from an Islamic integrated school was selected and the research method employed was the quasi-experimental research with pre and post-tests as well as interviews with the English teachers on the students’ performance and self-confidence.  Students were also interviewed to identify their self confidence level before and after the implementation of the public speaking module. This research project is hoped to increase students’ oral proficiency along with increasing self-confidence in public speaking at a young age, and to propose the implementation of this module as reference in primary education.

  9. Building Adaptive Capacity in Changing Social-Ecological Systems: Integrating Knowledge in Communal Land-Use Planning in the Peruvian Amazon

    Directory of Open Access Journals (Sweden)

    Lily O. Rodríguez

    2018-02-01

    Full Text Available Building resilient sustainable social-ecological systems (SES requires communities to enhance their adaptive capacities. Communal participative land-use planning (Zonificación Participativa Comunal—ZPC is a tool designed for communities to integrating local and scientific knowledge to sustainably organize and manage their SES. Between 2006 and 2011, a ZPC was developed with communities in the buffer zone of Cordillera Azul National Park (Peru, where rapid demographic changes are converting pre-montane seasonally dry forest into agricultural land. Herein, we analyse how the ZPC enhanced adaptive capacity, enabling the SES to cope with environmental, political and economic changes. Based on qualitative, semi-structured interviews, communities are analysed along their capacities in the dimensions social capital, learning, adaptive management and governance. An analysis of yearly high-resolution forest cover data supports our findings. Deforestation activities in biologically sensitive zones decreased rapidly during the time of the ZPC implementation. We find that particularly the long-term presence of the bridging institution and the continuous testing and reflection of the integrated “hybrid knowledge” enabled communities to develop adaptive capacities. The analysis of ZPC our results reveals the enabling conditions for promoting the learning process to develop a sustainable land-use management in the context of migration and rapid changes.

  10. Mental health care: how can Family Health teams integrate it into Primary Healthcare?

    Science.gov (United States)

    Gryschek, Guilherme; Pinto, Adriana Avanzi Marques

    2015-10-01

    Mental health is one of the responsibilities of Brazil's Family Health system. This review of literature sought to understand what position Mental Health occupies in the practice of the Family Health Strategy. A search was made of the scientific literature in the database of the Virtual Health Library (Biblioteca Virtual de Saúde), for the keywords: 'Mental Health'; 'Family Health'; 'Primary Healthcare'. The criteria for inclusion were: Brazilian studies from 2009 through 2012 that contributed to understanding of the following question: "How to insert Mental health care into the routine of the Family Health Strategy?" A total of 11 articles were found, which identified difficulties and strategies of the professionals in Primary Healthcare in relation to mental health. Referral, and medicalization, were common practices. Matrix Support is the strategy of training and skill acquisition for teams that enables new approaches in mental health in the context of Primary healthcare. It is necessary for Management of the Health System to take an active role in the construction of healthcare networks in mental health.

  11. Integrated PET/MRI for whole-body staging of patients with primary cervical cancer: preliminary results

    Energy Technology Data Exchange (ETDEWEB)

    Grueneisen, Johannes; Kinner, Sonja; Forsting, Michael; Lauenstein, Thomas; Umutlu, Lale [University Hospital Essen, University of Duisburg-Essen, Department of Diagnostic and Interventional Radiology and Neuroradiology, Essen (Germany); Schaarschmidt, Benedikt Michael [University Hospital Dusseldorf, University of Dusseldorf, Department of Diagnostic and Interventional Radiology, Dusseldorf (Germany); Heubner, Martin; Aktas, Bahriye [University Hospital Essen, University of Duisburg-Essen, Department of Obstetrics and Gynecology, Essen (Germany); Ruhlmann, Verena [University Hospital Essen, University of Duisburg-Essen, Department of Nuclear Medicine, Essen (Germany)

    2015-11-15

    To assess the diagnostic value of integrated PET/MRI for whole-body staging of cervical cancer patients, as well as to investigate a potential association between PET/MRI derived functional parameters and prognostic factors of cervical cancer. The present study was approved by the local institutional review board. Twenty-seven patients with histopathologically confirmed cervical cancer were prospectively enrolled in our study. All patients underwent a whole-body PET/MRI examination after written informed consent was obtained. Two radiologists separately evaluated the PET/MRI data sets regarding the determination of local tumor extent of primary cervical cancer lesions, as well as detection of nodal and distant metastases. Furthermore, SUV and ADC values of primary tumor lesions were analyzed and correlated with dedicated prognostic factors of cervical cancer. Results based on histopathology and cross-sectional imaging follow-up served as the reference standard. PET/MRI enabled the detection of all 27 primary tumor lesions of the uterine cervix and allowed for the correct determination of the T-stage in 23 (85 %) out of the 27 patients. Furthermore, the calculated sensitivity, specificity and diagnostic accuracy for the detection of nodal positive patients (n = 11) were 91 %, 94 % and 93 %, respectively. PET/MRI correctly identified regional metastatic disease (N1-stage) in 8/10 (80 %) patients and non-regional lymph node metastases in 5/5 (100 %) patients. In addition, quantitative analysis of PET and MRI derived functional parameters (SUV; ADC values) revealed a significant correlation with pathological grade and tumor size (p < 0.05). The present study demonstrates the high potential of integrated PET/MRI for the assessment of primary tumor and the detection of lymph node metastases in patients with cervical cancer. Providing additional prognostic information, PET/MRI may serve as a valuable diagnostic tool for cervical cancer patients in a pretreatment setting

  12. Integrated PET/MRI for whole-body staging of patients with primary cervical cancer: preliminary results

    International Nuclear Information System (INIS)

    Grueneisen, Johannes; Kinner, Sonja; Forsting, Michael; Lauenstein, Thomas; Umutlu, Lale; Schaarschmidt, Benedikt Michael; Heubner, Martin; Aktas, Bahriye; Ruhlmann, Verena

    2015-01-01

    To assess the diagnostic value of integrated PET/MRI for whole-body staging of cervical cancer patients, as well as to investigate a potential association between PET/MRI derived functional parameters and prognostic factors of cervical cancer. The present study was approved by the local institutional review board. Twenty-seven patients with histopathologically confirmed cervical cancer were prospectively enrolled in our study. All patients underwent a whole-body PET/MRI examination after written informed consent was obtained. Two radiologists separately evaluated the PET/MRI data sets regarding the determination of local tumor extent of primary cervical cancer lesions, as well as detection of nodal and distant metastases. Furthermore, SUV and ADC values of primary tumor lesions were analyzed and correlated with dedicated prognostic factors of cervical cancer. Results based on histopathology and cross-sectional imaging follow-up served as the reference standard. PET/MRI enabled the detection of all 27 primary tumor lesions of the uterine cervix and allowed for the correct determination of the T-stage in 23 (85 %) out of the 27 patients. Furthermore, the calculated sensitivity, specificity and diagnostic accuracy for the detection of nodal positive patients (n = 11) were 91 %, 94 % and 93 %, respectively. PET/MRI correctly identified regional metastatic disease (N1-stage) in 8/10 (80 %) patients and non-regional lymph node metastases in 5/5 (100 %) patients. In addition, quantitative analysis of PET and MRI derived functional parameters (SUV; ADC values) revealed a significant correlation with pathological grade and tumor size (p < 0.05). The present study demonstrates the high potential of integrated PET/MRI for the assessment of primary tumor and the detection of lymph node metastases in patients with cervical cancer. Providing additional prognostic information, PET/MRI may serve as a valuable diagnostic tool for cervical cancer patients in a pretreatment setting

  13. Structural integrity assessment of steam generator tubes deteriorated through primary water stress corrosion cracking in transition region of tube expansion

    International Nuclear Information System (INIS)

    Silveira, Helvecio Carlos Klinke da

    2002-01-01

    In PWR plants, steam generator tube degradation has been one of the most important economical concerns, besides causing operational safety problems. In this work, a survey of steam generator tube degradation modes is done. Degradation mechanisms and influence factors are introduced and discussed. The importance of stress corrosion cracking, especially in transition region of tube expansion zone, is underlined. The actual steam generator tube plugging criteria are conservative. Proposed alternative criteria are introduced and discussed. Distinction is done to structural integrity assessment of defective tubes. Real data of tube defect indications of axial cracks in expansion transition zone due to primary water stress corrosion cracking are used in analysis. Results allow discussing application aspects of deterministic and probabilistic criteria on structural integrity assessment of tubes with defect indications. Applied models are specifics, but the application of concept may be extended to other steam generator tube degradation modes. (author)

  14. The loss of ecosystem services due to land degradation. Integration of mechanistic and probabilistic models in an Ethiopian case study

    Science.gov (United States)

    Cerretelli, Stefania; Poggio, Laura; Gimona, Alessandro; Peressotti, Alessandro; Black, Helaina

    2017-04-01

    Land and soil degradation are widespread especially in dry and developing countries such as Ethiopia. Land degradation leads to ecosystems services (ESS) degradation, because it causes the depletion and loss of several soil functions. Ethiopia's farmland faces intense degradation due to deforestation, agricultural land expansion, land overexploitation and overgrazing. In this study we modelled the impact of physical factors on ESS degradation, in particular soil erodibility, carbon storage and nutrient retention, in the Ethiopian Great Rift Valley, northwestern of Hawassa. We used models of the Sediment retention/loss, the Nutrient Retention/loss (from the software suite InVEST) and Carbon Storage. To run the models we coupled soil local data (such as soil organic carbon, soil texture) with remote sensing data as input in the parametrization phase, e.g. to derive a land use map, to calculate the aboveground and belowground carbon, the evapotraspiration coefficient and the capacity of vegetation to retain nutrient. We then used spatialised Bayesian Belief Networks (sBBNs) predicting ecosystem services degradation on the basis of the results of the three mechanistic models. The results show i) the importance of mapping of ESS degradation taking into consideration the spatial heterogeneity and the cross-correlations between impacts ii) the fundamental role of remote sensing data in monitoring and modelling in remote, data-poor areas and iii) the important role of spatial BBNs in providing spatially explicit measures of risk and uncertainty. This approach could help decision makers to identify priority areas for intervention in order to reduce land and ecosystem services degradation.

  15. GE-42INTEGRATED RADIOGRAPHIC AND PHYLOGENETIC CASE STUDY OF A PRIMARY AND CONTRALATERAL RECURRENT GLIOMA

    OpenAIRE

    Nagarajan, Raman; Barajas, Ramon; Mazor, Tali; Phillips, Joanna; Ma, Jianhui; Hong, Chibo; Johnson, Brett; Dayal, Manisha; Cha, Soonmee; Nakamura, Jean; Berger, Mitchel; Chang, Susan; Furnari, Frank; Taylor, Barry; Costello, Joseph

    2014-01-01

    Extensive neuropil invasion is a hallmark of glioma growth and a subset of tumors demonstrate recurrence in the contralateral hemisphere without a path of tumor spread detected by MR imaging. We used an integrated genomic and radiographic approach to study a patient with a right nonenhancing insular mass histologically diagnosed as IDH1/2 wild-type anaplastic astrocytoma (AA) and a punctate nonenhancing T2 hyperintense focus within the left middle frontal gyrus subcortical white matter. Follo...

  16. Elim Workshop Proceedings: Improving coordination and integration of agricultural land use in restitution areas of Makhado Municipality

    CSIR Research Space (South Africa)

    Nortje, Karen

    2011-08-01

    Full Text Available was completed about ten years ago, but to date very little has happened in terms of implementing the land use plans Factors hampering implementation of land use plans: o Lack of money and other resources to implement what the plans recommend... and ambitious and require large sums of money to realize - situation might be improved if communities (CPAs) came up with their own realistic and achievable plans which are based on their realities as it is highly unlikely that government will come up...

  17. "Land of Volcanoes" workshop: a first step in Earth Sciences for "L'Alzina" Public School primary students (4-5 years old)

    Science.gov (United States)

    Cortés, Jordi; Geyer, Adelina; Díaz, Mabel

    2017-04-01

    "Land of Volcanoes" is a scientific outreach workshop devised by Adelina Geyer, researcher of the Institute of Earth Sciences Jaume Almera, ICTJA-CSIC. The workshop proposes an approximation to the world of volcanology through the explanation of different concepts related to these geological phenomena: its origin and its characteristics, magma eruptions and their associated hazards, etc. Over the last years, Geyer has developed the workshop in the context of different outreach activities for an audience formed, not only but mainly, by secondary school students. At the beginning of 2016, as a result of different informal contacts between ICTJA-CSIC Communication Unit and Mabel Díaz, teacher of the "L'Alzina" public school (Molins de Rei), arose the idea of developing Geyer's workshop in front of 26 students aged 4-5 years old, primary students. Díaz explains that it is "in the age ranged between 0 and 6 years when observation and hands-on activities are important elements of the learning process", although she adds that " primary students are usually not seen as potential audiences of this type of outreach activities and workshops". Díaz says that "Science is simple: it is about observing, asking questions and finding answers, the same that children, even the smallest, do constantly." Adelina Geyer accepted the challenge of conducting the "Land of Volcanoes" workshop in front of 4-5 year old children, although it was necessary to adapt its format and content to the new audience. Meanwhile, students prepared the session following the same process used in the project work system employed at the school and that started from two questions: "What do we know about volcanoes? What we want to know about them?" On June 3rd 2016, Adelina Geyer conducted "Land of Volcanoes" workshop at l'Alzina public school in front of a classroom of 4-5 years old students. The activity was divided in two parts with a total duration of 45 minutes: 1) Brief introductory talk: this part

  18. Gene transfer to primary corneal epithelial cells with an integrating lentiviral vector

    Directory of Open Access Journals (Sweden)

    Lauro Augusto de Oliveira

    2010-10-01

    Full Text Available PURPOSE: To evaluate the transfer of heterologous genes carrying a Green Fluorescent Protein (GFP reporter cassette to primary corneal epithelial cells ex vivo. METHODS: Freshly enucleated rabbit corneoscleral tissue was used to obtain corneal epithelial cell suspension via enzymatic digestion. Cells were plated at a density of 5×10³ cells/cm² and allowed to grow for 5 days (to 70-80% confluency prior to transduction. Gene transfer was monitored using fluorescence microscopy and fluorescence activated cell sorter (FACS. We evaluated the transduction efficiency (TE over time and the dose-response effect of different lentiviral particles. One set of cells were dual sorted by fluorescence activated cell sorter for green fluorescent protein expression as well as Hoechst dye exclusion to evaluate the transduction of potentially corneal epithelial stem cells (side-population phenotypic cells. RESULTS: Green fluorescent protein expressing lentiviral vectors were able to effectively transduce rabbit primary epithelial cells cultured ex vivo. Live cell imaging post-transduction demonstrated GFP-positive cells with normal epithelial cell morphology and growth. The transduction efficiency over time was higher at the 5th post-transduction day (14.1% and tended to stabilize after the 8th day. The number of transduced cells was dose-dependent, and at the highest lentivirus concentrations approached 7%. When double sorted by fluorescence activated cell sorter to isolate both green fluorescent protein positive and side population cells, transduced side population cells were identified. CONCLUSIONS: Lentiviral vectors can effectively transfer heterologous genes to primary corneal epithelial cells expanded ex vivo. Genes were stably expressed over time, transferred in a dose-dependence fashion, and could be transferred to mature corneal cells as well as presumable putative stem cells.

  19. An Integrated Approach for the Assessment of the Natural and Anthropogenic Controls on Land Subsidence in the Kingdom of Saudi Arabia

    Science.gov (United States)

    Othman, A.; Sultan, M.; Ahmed, M.; Alharbi, T.; Gebremichael, E.; Emil, M.

    2015-12-01

    Recent land subsidence incidences in the Kingdom of Saudi Arabia (KSA) resulted in loss in life and property. In this study, an integrated approach is adopted to accomplish the following: (1) map the spatial distribution of areas that are witnessing land subsidence, (2) quantify the rates of land subsidence, and (3) identify the factors causing the observed subsidence. A three-fold approach is applied: (1) use of interferometric techniques to assess the spatial distribution of land subsidence and to quantify the rates of subsidence, (2) generate a GIS database to encompass all relevant data and derived products, and (3) correlate findings from the radar exercise with relevant spatial and temporal datasets (e.g., remote sensing, geology, fluid extraction rates, distribution of urban areas, etc.). Three main areas were selected: (1) central and northern parts of the KSA, (2) areas surrounding the Ghawar oil/gas field, and (3) the Harrat Lunayyir volcanic field. Applications of two-pass, three-pass, and SBAS radar interferometric techniques over central KSA revealed the following: (1) subsidence rates of up to -15 mm/yr were detected; the spatial distribution of the subsided areas that were extracted using the various interferometric techniques are similar, (2) subsided areas correlated spatially with the distribution of: (a) areas with high groundwater extraction rates as evidenced from the analysis of field and Gravity Recovery and Climate Experiment (GRACE) data, (b) agricultural plantations as evidenced from the analysis of field and temporal Landsat data, (c) urban areas (e.g., Buraydah City), (d) outcrops of carbonates and anhydrite formations (e.g., Khuff and Jilh formations), (3) subsidence could be related to more than one parameter. Similar research activities are underway in northern KSA and in areas surrounding the Ghawar oil/gas and the Harrat Lunayyir volcanic fields to assess the distribution and factors controlling land deformation in those areas.

  20. Evaluation of land capability and suitability for irrigated agriculture in the Emirate of Abu Dhabi, UAE, using an integrated AHP-GIS model

    Science.gov (United States)

    Aldababseh, A.; Temimi, M.; Maghelal, P.; Branch, O.; Wulfmeyer, V.

    2017-12-01

    The rapid economic development and high population growth in the United Arab Emirates (UAE) have impacted utilization and management of agricultural land. The development of large-scale agriculture in unsuitable areas can severely impact groundwater resources in the UAE. More than 60% of UAE's water resources are being utilized by the agriculture, forestry, and urban greenery sectors. However, the contribution of the agricultural sector to the national GDP is negligible. Several programs have been introduced by the government aimed at achieving sustainable agriculture whilst preserving valuable water resources. Local subsistence farming has declined considerably during the past few years, due to low soil moisture content, sandy soil texture, lack of arable land, natural climatic disruptions, water shortages, and declined rainfall. The limited production of food and the continuing rise in the food prices on a global and local level are expected to increase low-income households' vulnerability to food insecurity. This research aims at developing a suitability index for the evaluation and prioritization of areas in the UAE for large-scale agriculture. The AHP-GIS integrated model developed in this study facilitates a step by step aggregation of a large number of datasets representing the most important criteria, and the generation of agricultural suitability and land capability maps. To provide the necessary criteria to run the model, a comprehensive geospatial database was built, including climate conditions, water potential, soil capabilities, topography, and land management. A hieratical structure is built as a decomposition structure that includes all criteria and sub-criteria used to define land suitability based on literature review and experts' opinions. Pairwise comparisons matrix are used to calculate criteria' weights. The GIS Model Builder function is used to integrate all spatial processes to model land suitability. In order to preserve some flexibility

  1. Farmer’s welfare in Telang’s integrated independent city: lesson learned from migrant and local farmers in tidal land, South Sumatera

    Science.gov (United States)

    Adriani, D.; Zahri, I.; Wildayana, E.; Maryadi; Hamzah, M.; Yulius

    2018-02-01

    Telang’s Independent Integrated City development is a model of tidal agricultural development through technological innovation to improve farmers’ welfare. In this area, the diversity of origin of population is also suspected to have an impact on the achievement of success. The purpose of this study is to analyze and prove the hypothesis that farmers are able to prosper in tidal land by Telang’s Independent Integrated City Program based on migrant and local farmers disaggregation. The research was conducted at Tanjung Lago District Banyuasin Regency, South Sumatra. The research method is survey with stratified simple random sampling. Data is processed by mathematics and statistics. Telang’s Independent Integrated City is an area of rice production center development and rice industry. Since 2008, farmers have implemented rice cultivation innovations by the twice-cropping index. This program by utilization of tidal land proved that farmers have a great chance of success. Farmers have succeeded in breaking the myth that has been growing in the food agriculture sector, that farmers cannot prosper only with food crops. Both Farmer’s income has been above the necessities of life. Judging by the diversity of origin of population, the income of migrant is higher than local farmers.

  2. 1st or 2nd generation bioethanol-impacts of technology integration & on feed production and land use

    DEFF Research Database (Denmark)

    Bentsen, Niclas Scott; Felby, Claus

    2009-01-01

    production comparable to gasoline production in terms of energy loss. Utilisation of biomass in the energy sector is inevitably linked to the utilisation of land. This is a key difference between fossil and bio based energy systems. Thus evaluations of bioethanol production based on energy balances alone...

  3. Integrating Taxonomic, Functional and Phylogenetic Beta Diversities: Interactive Effects with the Biome and Land Use across Taxa.

    Science.gov (United States)

    Corbelli, Julian Martin; Zurita, Gustavo Andres; Filloy, Julieta; Galvis, Juan Pablo; Vespa, Natalia Isabel; Bellocq, Isabel

    2015-01-01

    The spatial distribution of species, functional traits and phylogenetic relationships at both the regional and local scales provide complementary approaches to study patterns of biodiversity and help to untangle the mechanisms driving community assembly. Few studies have simultaneously considered the taxonomic (TBD), functional (FBD) and phylogenetic (PBD) facets of beta diversity. Here we analyze the associations between TBD, FBD, and PBD with the biome (representing different regional species pools) and land use, and investigate whether TBD, FBD and PBD were correlated. In the study design we considered two widely used indicator taxa (birds and ants) from two contrasting biomes (subtropical forest and grassland) and land uses (tree plantations and cropfields) in the southern Neotropics. Non-metric multidimensional scaling showed that taxonomic, functional and phylogenetic distances were associated to biome and land use; study sites grouped into four groups on the bi-dimensional space (cropfields in forest and grassland, and tree plantations in forest and grassland), and that was consistent across beta diversity facets and taxa. Mantel and PERMANOVA tests showed that TBD, FBD and PBD were positively correlated for both bird and ant assemblages; in general, partial correlations were also significant. Some of the functional traits considered here were conserved along phylogeny. Our results will contribute to the development of sound land use planning and beta diversity conservation.

  4. Integrating Taxonomic, Functional and Phylogenetic Beta Diversities: Interactive Effects with the Biome and Land Use across Taxa

    Science.gov (United States)

    Corbelli, Julian Martin; Zurita, Gustavo Andres; Filloy, Julieta; Galvis, Juan Pablo; Vespa, Natalia Isabel; Bellocq, Isabel

    2015-01-01

    The spatial distribution of species, functional traits and phylogenetic relationships at both the regional and local scales provide complementary approaches to study patterns of biodiversity and help to untangle the mechanisms driving community assembly. Few studies have simultaneously considered the taxonomic (TBD), functional (FBD) and phylogenetic (PBD) facets of beta diversity. Here we analyze the associations between TBD, FBD, and PBD with the biome (representing different regional species pools) and land use, and investigate whether TBD, FBD and PBD were correlated. In the study design we considered two widely used indicator taxa (birds and ants) from two contrasting biomes (subtropical forest and grassland) and land uses (tree plantations and cropfields) in the southern Neotropics. Non-metric multidimensional scaling showed that taxonomic, functional and phylogenetic distances were associated to biome and land use; study sites grouped into four groups on the bi-dimensional space (cropfields in forest and grassland, and tree plantations in forest and grassland), and that was consistent across beta diversity facets and taxa. Mantel and PERMANOVA tests showed that TBD, FBD and PBD were positively correlated for both bird and ant assemblages; in general, partial correlations were also significant. Some of the functional traits considered here were conserved along phylogeny. Our results will contribute to the development of sound land use planning and beta diversity conservation. PMID:25978319

  5. Integrating Taxonomic, Functional and Phylogenetic Beta Diversities: Interactive Effects with the Biome and Land Use across Taxa.

    Directory of Open Access Journals (Sweden)

    Julian Martin Corbelli

    Full Text Available The spatial distribution of species, functional traits and phylogenetic relationships at both the regional and local scales provide complementary approaches to study patterns of biodiversity and help to untangle the mechanisms driving community assembly. Few studies have simultaneously considered the taxonomic (TBD, functional (FBD and phylogenetic (PBD facets of beta diversity. Here we analyze the associations between TBD, FBD, and PBD with the biome (representing different regional species pools and land use, and investigate whether TBD, FBD and PBD were correlated. In the study design we considered two widely used indicator taxa (birds and ants from two contrasting biomes (subtropical forest and grassland and land uses (tree plantations and cropfields in the southern Neotropics. Non-metric multidimensional scaling showed that taxonomic, functional and phylogenetic distances were associated to biome and land use; study sites grouped into four groups on the bi-dimensional space (cropfields in forest and grassland, and tree plantations in forest and grassland, and that was consistent across beta diversity facets and taxa. Mantel and PERMANOVA tests showed that TBD, FBD and PBD were positively correlated for both bird and ant assemblages; in general, partial correlations were also significant. Some of the functional traits considered here were conserved along phylogeny. Our results will contribute to the development of sound land use planning and beta diversity conservation.

  6. Integrating Land Use and Socioeconomic Factors into Scenario-Based Travel Demand and Carbon Emission Impact Study

    Science.gov (United States)

    Urban sprawl continues since the last century, leading to a rapid increase in automobile ownership and vehicle travel demand, while resulting in more traffic congestion and automobile emissions. Land use, serving as a source of travel demand, can significantly impact travel behav...

  7. Integrated care as a means to improve primary care delivery for adults and adolescents in the developing world: a critical analysis of Integrated Management of Adolescent and Adult Illness (IMAI).

    Science.gov (United States)

    Vasan, Ashwin; Ellner, Andrew; Lawn, Stephen D; Gove, Sandy; Anatole, Manzi; Gupta, Neil; Drobac, Peter; Nicholson, Tom; Seung, Kwonjune; Mabey, David C; Farmer, Paul E

    2014-01-14

    More than three decades after the 1978 Declaration of Alma-Ata enshrined the goal of 'health for all', high-quality primary care services remain undelivered to the great majority of the world's poor. This failure to effectively reach the most vulnerable populations has been, in part, a failure to develop and implement appropriate and effective primary care delivery models. This paper examines a root cause of these failures, namely that the inability to achieve clear and practical consensus around the scope and aims of primary care may be contributing to ongoing operational inertia. The present work also examines integrated models of care as a strategy to move beyond conceptual dissonance in primary care and toward implementation. Finally, this paper examines the strengths and weaknesses of a particular model, the World Health Organization's Integrated Management of Adolescent and Adult Illness (IMAI), and its potential as a guidepost toward improving the quality of primary care delivery in poor settings. Integration and integrated care may be an important approach in establishing a new paradigm of primary care delivery, though overall, current evidence is mixed. However, a number of successful specific examples illustrate the potential for clinical and service integration to positively impact patient care in primary care settings. One example deserving of further examination is the IMAI, developed by the World Health Organization as an operational model that integrates discrete vertical interventions into a comprehensive delivery system encompassing triage and screening, basic acute and chronic disease care, basic prevention and treatment services, and follow-up and referral guidelines. IMAI is an integrated model delivered at a single point-of-care using a standard approach to each patient based on the universal patient history and physical examination. The evidence base on IMAI is currently weak, but whether or not IMAI itself ultimately proves useful in

  8. COMBINATION OF GENETIC ALGORITHM AND DEMPSTER-SHAFER THEORY OF EVIDENCE FOR LAND COVER CLASSIFICATION USING INTEGRATION OF SAR AND OPTICAL SATELLITE IMAGERY

    Directory of Open Access Journals (Sweden)

    H. T. Chu

    2012-07-01

    Full Text Available The integration of different kinds of remotely sensed data, in particular Synthetic Aperture Radar (SAR and optical satellite imagery, is considered a promising approach for land cover classification because of the complimentary properties of each data source. However, the challenges are: how to fully exploit the capabilities of these multiple data sources, which combined datasets should be used and which data processing and classification techniques are most appropriate in order to achieve the best results. In this paper an approach, in which synergistic use of a feature selection (FS methods with Genetic Algorithm (GA and multiple classifiers combination based on Dempster-Shafer Theory of Evidence, is proposed and evaluated for classifying land cover features in New South Wales, Australia. Multi-date SAR data, including ALOS/PALSAR, ENVISAT/ASAR and optical (Landsat 5 TM+ images, were used for this study. Textural information were also derived and integrated with the original images. Various combined datasets were generated for classification. Three classifiers, namely Artificial Neural Network (ANN, Support Vector Machines (SVMs and Self-Organizing Map (SOM were employed. Firstly, feature selection using GA was applied for each classifier and dataset to determine the optimal input features and parameters. Then the results of three classifiers on particular datasets were combined using the Dempster-Shafer theory of Evidence. Results of this study demonstrate the advantages of the proposed method for land cover mapping using complex datasets. It is revealed that the use of GA in conjunction with the Dempster-Shafer Theory of Evidence can significantly improve the classification accuracy. Furthermore, integration of SAR and optical data often outperform single-type datasets.

  9. Integrating complementary/alternative medicine into primary care: evaluating the evidence and appropriate implementation

    Directory of Open Access Journals (Sweden)

    Wainapel SF

    2015-12-01

    Full Text Available Stanley F Wainapel,1 Stephanie Rand,1 Loren M Fishman,2 Jennifer Halstead-Kenny1 1The Arthur S Abramson Department of Physical Medicine and Rehabilitation, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, 2Department of Rehabilitation and Regenerative Medicine, College of Physicians and Surgeons, Columbia University, New York, NY, USA Abstract: The frequency with which patients utilize treatments encompassed by the term complementary/alternative medicine (CAM is well documented. A number of these therapies are beginning to be integrated into contemporary medical practice. This article examines three of them: osteopathic manipulation, yoga, and acupuncture, with a focus on their physiological effects, efficacy in treating medical conditions commonly encountered by practitioners, precautions or contraindications, and ways in which they can be incorporated into clinical practice. Physicians should routinely obtain information about use of CAM as part of their patient history and should consider their role based on physiological effects and clinical research results. Keywords: integrative medicine, osteopathic manipulation, yoga, acupuncture therapy

  10. Integration of oral health in primary health care through motivational interviewing for mothers of young children: A pilot study

    Directory of Open Access Journals (Sweden)

    Manu Batra

    2018-01-01

    Full Text Available Introduction: Early childhood caries (ECC continues to affect children worldwide. In India, primary health centers (PHCs comprises the primary tier where Accredited Social Health Activist (ASHA provide integrated curative and preventive health care. The aim of the study was to pilot test the integration of oral health in primary health care through motivational interviewing (MI for mothers of young children provided by ASHAs. Subjects and Methods: The pilot study was conducted in Kashipur, Uttarakhand. From the six PHCs in Kashipur, three were randomly selected, one each was assigned to MI group, traditional health education group, and control group. From 60 mothers with 8–12 months child, ASHAs of all three groups gathered mother's knowledge regarding child's oral health using close-ended questionnaire and diagnosed clinical risk markers of ECC in children and ASHAs of Group A and B imparted the oral health education as per their training. Results: The comparison of ASHA's performances on the MI training competency pre- and post-test showed an overall average of 74% improvement in post–test scores. Interexaminer reliability of the parallel clinical measurements by 6 ASHAs and the investigator for the maxillary central incisors showed 93% of agreement for both dental plaque and dental caries assessment with 0.86 and 0.89 kappa values, respectively. Conclusion: The health education through MI is feasible and can be cost-effective by utilization of ASHAs at PHCs to provide the oral health education to mothers which will in turn improve the oral health status of children.

  11. [Inter-organizational relationship in the integration teaching-nursing service at the primary health care].

    Science.gov (United States)

    de Andrade, Selma Regina; Boehs, Astrid Eggert; Coelho, Bruna; Schmitt, Isabel Maria; Boehs, Carlos Gabriel Eggert

    2014-01-01

    This study aimed to characterize the stages of the inter-organizational relationships between educational and caring aspects of Nursing, operating in the context of primary health care in a municipality of Santa Catarina, Brazil. The qualitative approach of the case study was used by deliberately selecting the cooperation between two organizations. Eight teaching nurses and eight assistant nurses were interviewed. The data were submitted to content analysis, and the results demonstrated a number of elements in the phases of interaction (negotiation, commitment and execution of activities), as well as the variability of their content over time. It was concluded that the interaction, at an operational level, is characterized by dynamics that happen during relationship cycles, usually spanning through the school-semester, producing new negotiations and commitments for the following semester.

  12. New graduate registered nurse transition into primary health care roles: an integrative literature review.

    Science.gov (United States)

    Murray-Parahi, Pauline; DiGiacomo, Michelle; Jackson, Debra; Davidson, Patricia M

    2016-11-01

    To summarise the literature describing new graduate nurse transition to professional practice within the primary health care (PHC) setting. There is a plethora of research literature spanning several decades about new graduate nurse transition in the acute care setting. Yet, the experiences of new graduate nurse in the PHC setting is unremarkable particularly considering the increasing demand for skilled health care workers and focus of health reform to provide care where people work and live. Electronic data bases, Academic Search Complete, EBSCO, Medline, PsycINFO, CINHAL, and ERIC were searched using a combination of terms and synonyms arising from three key concepts which identify the phenomenon; 'transition', 'new graduate registered nurse' and 'primary health care. An inclusive search strategy placed no limits on language or publication date. Of the 50 articles located and examined for relevance; 40 were sourced through databases and 10 from Google Scholar/Alerts and hand-searching references. None of the 19 articles retained for analysis addressed all key concepts. Some challenges of researching the professional transition of graduate nurses in PHC settings included, an absence of definitive transition models, a dearth of literature and deference to acute care research. Nursing in PHC settings, particularly the client's home is notably different to hospital settings because of higher levels of isolation and autonomy. Societal changes, health reform and subsequent demand for skilled workers in PHC settings has caused health care providers to question the logic that such roles are only for experienced nurses. Implications arise for education and health service providers who desire to close the theory practice gap and mitigate risk for all stakeholders when next generation nurses have limited opportunities to experience PHC roles as undergraduates and newly graduated registered nurses are already transitioning in this setting. © 2016 John Wiley & Sons Ltd.

  13. The Patient Centered Assessment Method (PCAM: integrating the social dimensions of health into primary care

    Directory of Open Access Journals (Sweden)

    Rebekah Pratt

    2015-07-01

    Full Text Available Background: Social dimensions of health are known to contribute to what is often termed “patient complexity”, which is particularly common among patients with multimorbidity. Health-care professionals require tools to help them identify and manage these aspects of patient needs. Objectives: To examine: (i the Patient Centered Assessment Method (PCAM, a tool for assessing patient complexity in ways that are sensitive to the biopsychosocial dimensions of health, in primary care settings in Scotland; (ii the impact of the PCAM on referral patterns and its perceived value; and (iii the PCAM’s perceived applicability for use in a complex patient population. Design: Two studies are described: (i a mixed-methods prospective cohort study of the implementation of the PCAM in primary care clinics; and (ii a qualitative exploratory study that evaluated the value of the PCAM in a complex patient population. Results: Use of the PCAM did not impact patient satisfaction or perception of practitioners’ empathy, but it did increase both the number of onward referrals per referred patient (9–12% and the proportion of referrals to non-medical services addressing psychological, social, and lifestyle needs. Nurses valued the PCAM, particularly its ability to help them address psychological and social domains of patients’ lives, and found it to be highly relevant for use in populations with known high complexity. Conclusions: The PCAM represents a feasible approach for assessing patient needs with consideration to the social dimensions of health, and allows practitioners to refer patients to a broader range of services to address patient complexity.

  14. Safety provisions for steam generator in Mochovce nuclear power plant. BO CI 04 Integrity of primary collectors of VVER 440 steam generators

    International Nuclear Information System (INIS)

    Cikryt, F.; Bednarek, L.; Matocha, K.; Vejvoda, S.

    1997-01-01

    This paper dealt with the identification of possible damaging mechanism of the collector of the WWER 440 steam generator, cracking of primary collectors, corrosion damage of the protective coat of the primary collector circumferential weld, cracking of breathing space in the region of blinding effect by corrosion and strain, leaking of disassembling joint of the primary collector lid and with the integrity of heat exchanging tubes

  15. Instrumentation Needs for Integral Primary System Reactors (IPSRs) - Task 1 Final Report

    International Nuclear Information System (INIS)

    Gary D Storrick; Bojan Petrovic; Luca Oriani; Lawrence E Conway; Diego Conti

    2005-01-01

    This report presents the results of the Westinghouse work performed under Task 1 of this Financial Assistance Award and satisfies a Level 2 Milestone for the project. While most of the signals required for control of IPSRs are typical of other PWRs, the integral configuration poses some new challenges in the design or deployment of the sensors/instrumentation and, in some cases, requires completely new approaches. In response to this consideration, the overall objective of Task 1 was to establish the instrumentation needs for integral reactors, provide a review of the existing solutions where available, and, identify research and development needs to be addressed to enable successful deployment of IPSRs. The starting point for this study was to review and synthesize general characteristics of integral reactors, and then to focus on a specific design. Due to the maturity of its design and availability of design information to Westinghouse, IRIS (International Reactor Innovative and Secure) was selected for this purpose. The report is organized as follows. Section 1 is an overview. Section 2 provides background information on several representative IPSRs, including IRIS. A review of the IRIS safety features and its protection and control systems is used as a mechanism to ensure that all critical safety-related instrumentation needs are addressed in this study. Additionally, IRIS systems are compared against those of current advanced PWRs. The scope of this study is then limited to those systems where differences exist, since, otherwise, the current technology already provides an acceptable solution. Section 3 provides a detailed discussion on instrumentation needs for the representative IPSR (IRIS) with detailed qualitative and quantitative requirements summarized in the exhaustive table included as Appendix A. Section 3 also provides an evaluation of the current technology and the instrumentation used for measurement of required parameters in current PWRs. Section 4

  16. The NADI program and the JOICFP integrated project: partners in delivering primary health care.

    Science.gov (United States)

    Arshat, H; Othman, R; Kuan Lin Chee; Abdullah, M

    1985-10-01

    The NADI program (pulse in Malay) was initially launched as a pilot project in 1980 in Kuala Lumpur, Malaysia. It utilized an integrated approach involving both the government and the private sectors. By sharing resources and expertise, and by working together, the government and the people can achieve national development faster and with better results. The agencies work through a multi-level supportive structure, at the head of which is the steering committee. The NADI teams at the field level are the focal points of services from the various agencies. Members of NADI teams also work with urban poor families as well as health groups, parents-teachers associations, and other similar groups. The policy and planning functions are carried out by the steering committee, the 5 area action committees and the community action committees, while the implementation function is carried out by the area program managers and NADI teams. The chairman of each area action committee is the head of the branch office of city hall. Using intestinal parasite control as the entry point, the NADI Integrated Family Development Program has greatly helped in expanding inter-agency cooperation and exchange of experiences by a coordinated, effective and efficient resource-mobilization. The program was later expanded to other parts of the country including the industrial and estate sectors. Services provided by NADI include: comprehensive health services to promote maternal and child health; adequate water supply, proper waste disposal, construction of latrines and providing electricity; and initiating community and family development such as community education, preschool education, vocational training, family counseling and building special facilities for recreational and educational purposes.

  17. Evaluation of DELTA PREP: A Project Aimed at Integrating Primary Prevention of Intimate Partner Violence Within State Domestic Violence Coalitions

    Science.gov (United States)

    Freire, Kimberley E.; Zakocs, Ronda; Le, Brenda; Hill, Jessica A.; Brown, Pamela; Wheaton, Jocelyn

    2018-01-01

    Background Intimate partner violence (IPV) has been recognized as a public health problem since the late 20th century. To spur IPV prevention efforts nationwide, the DELTA PREP Project selected 19 state domestic violence coalitions to build organizational prevention capacity and catalyze IPV primary prevention strategies within their states. Objective DELTA PREP’s summative evaluation addressed four major questions: (1) Did coalitions improve their prevention capacity during the project period? (2) Did coalitions serve as catalysts for prevention activities within their states during the project period? (3) Was initial prevention capacity associated with the number of prevention activity types initiated by coalitions by the end of the project? (4) Did coalitions sustain their prevention activities 6 months after the end of the project period? Results DELTA PREP achieved its capacity-building goal, with all 19 participant coalitions integrating prevention within their organizations and serving as catalysts for prevention activities in their states. At 6 months follow up, coalitions had sustained almost all prevention activities they initiated during the project. Baseline prevention capacity (Beginner vs. Intermediate) was not associated with the number of prevention activity types coalitions implemented by the end of the project. Conclusion Service and treatment organizations are increasingly asked to integrate a full spectrum of prevention strategies. Selecting organizations that have high levels of general capacity and readiness for an innovation like integrating a public health approach to IPV prevention will likely increase success in building an innovation-specific capacity, and in turn implementing an innovation. PMID:26245932

  18. Barriers and facilitators to the integration of mental health services into primary health care: a systematic review protocol.

    Science.gov (United States)

    Wakida, Edith K; Akena, Dickens; Okello, Elialilia S; Kinengyere, Alison; Kamoga, Ronald; Mindra, Arnold; Obua, Celestino; Talib, Zohray M

    2017-08-25

    Mental health is an integral part of health and well-being and yet health systems have not adequately responded to the burden of mental disorders. Integrating mental health services into primary health care (PHC) is the most viable way of closing the treatment gap and ensuring that people get the mental health care they need. PHC was formally adapted by the World Health Organization (WHO), and they have since invested enormous amounts of resources across the globe to ensure that integration of mental health services into PHC works. This review will use the SPIDER (Sample, Phenomenon of Interest, Design, Evaluation, Research type) framework approach to identify experiences of mental health integration into PHC; the findings will be reported using the "Best fit" framework synthesis. PubMed, EMBASE, PsycINFO, and Cochrane Central Register of Controlled trials (CENTRAL) will be searched including other sources like the WHO website and OpenGrey database. Assessment of bias and quality will be done at study level using two separate tools to check for the quality of evidence presented. Data synthesis will take on two synergistic approaches (qualitative and quantitative studies). Synthesizing evidence from countries across the globe will provide useful insights into the experiences of integrating mental health services into PHC and how the barriers and challenges have been handled. The findings will be useful to a wide array of stakeholders involved in the implementation of the mental health integration into PHC. The SPIDER framework has been chosen for this review because of its suitable application to qualitative and mixed methods research and will be used as a guide when selecting articles for inclusion. Data extracted will be synthesized using the "Best fit" framework because it has been used before and proved its suitability in producing new conceptual models for explaining decision-making and possible behaviors. Synthesizing evidence from countries across the globe

  19. Integrative role of MRI in the evaluation of primary biliary cirrhosis

    International Nuclear Information System (INIS)

    Kovac, Jelena Djokic; Banko, Bojan; Maksimovic, Ruzica; Jesic, Rada; Stanisavljevic, Dejana; Kovac, Bojan; Seferovic, Petar

    2012-01-01

    To evaluate magnetic resonance imaging (MRI) findings in patients with primary biliary cirrhosis (PBC) and to determine the value of diffusion-weighted imaging (DWI) in the assessment of liver fibrosis. The following MRI findings were reviewed in 44 patients: periportal T2-weighted hyperintensity, periportal halo sign (T1- and T2-weighted periportal hypointensity), lymphadenopathy, signs of portal hypertension and morphological liver changes. Apparent diffusion coefficient (ADC) was calculated for six locations in the liver for b = 800 s/mm 2 . Periportal hyperintensity and periportal halo sign were observed in 72.7% and 66.7% of patients, respectively. Lymphadenopathy was noted in 28 patients (63.6%) and diffuse hepatomegaly in 18 (40.9%). Significant positive correlation was observed between histological stage and periportal halo sign (p = 0.613), hepatomegaly (p = 0.443), and portosystemic collaterals (p = 0.391). The mean ADCs (x 10 -3 mm 2 /s) were significantly different at stage I versus III and IV, and stage II versus IV. No significant difference was found between stages II and III. For prediction of stage ≥ II and stage ≥ III areas under receiver operating characteristic curves were 0.879 and 0.906, respectively. MRI with DWI could be used as a part of diagnostic protocol in the further evaluation of PBC patients providing noninvasive assessment of liver fibrosis progression. (orig.)

  20. Integrative role of MRI in the evaluation of primary biliary cirrhosis

    Energy Technology Data Exchange (ETDEWEB)

    Kovac, Jelena Djokic; Banko, Bojan; Maksimovic, Ruzica [University of Belgrade, Center for Radiology and Magnetic Resonance Imaging, Clinical Center of Serbia, Faculty of Medicine, Belgrade (RS); Jesic, Rada [University of Belgrade, Clinic for Gastroenterohepatology, Clinical Center of Serbia, Faculty of Medicine, Belgrade (RS); Stanisavljevic, Dejana [University of Belgrade, Institute for Statistics, Faculty of Medicine, Belgrade (RS); Kovac, Bojan [Military Medical Academy, Belgrade (RS); Seferovic, Petar [University of Belgrade, Institute for Cardiovascular Diseases, Clinical Center of Serbia, Faculty of Medicine, Belgrade (RS)

    2012-03-15

    To evaluate magnetic resonance imaging (MRI) findings in patients with primary biliary cirrhosis (PBC) and to determine the value of diffusion-weighted imaging (DWI) in the assessment of liver fibrosis. The following MRI findings were reviewed in 44 patients: periportal T2-weighted hyperintensity, periportal halo sign (T1- and T2-weighted periportal hypointensity), lymphadenopathy, signs of portal hypertension and morphological liver changes. Apparent diffusion coefficient (ADC) was calculated for six locations in the liver for b = 800 s/mm{sup 2}. Periportal hyperintensity and periportal halo sign were observed in 72.7% and 66.7% of patients, respectively. Lymphadenopathy was noted in 28 patients (63.6%) and diffuse hepatomegaly in 18 (40.9%). Significant positive correlation was observed between histological stage and periportal halo sign (p = 0.613), hepatomegaly (p = 0.443), and portosystemic collaterals (p = 0.391). The mean ADCs (x 10{sup -3} mm{sup 2}/s) were significantly different at stage I versus III and IV, and stage II versus IV. No significant difference was found between stages II and III. For prediction of stage {>=} II and stage {>=} III areas under receiver operating characteristic curves were 0.879 and 0.906, respectively. MRI with DWI could be used as a part of diagnostic protocol in the further evaluation of PBC patients providing noninvasive assessment of liver fibrosis progression. (orig.)

  1. From the global efforts on certification of bioenergy towards an integrated approach based on sustainable land use planning

    International Nuclear Information System (INIS)

    van Dam, J.; Junginger, M.; Faaij, A.P.C.

    2010-01-01

    This paper presents an overview of 67 ongoing certification initiatives to safeguard the sustainability of bioenergy. Most recent initiatives are focused on the sustainability of liquid biofuels. Content-wise, most of these initiatives have mainly included environmental principles. Despite serious concerns in various parts of the world on the socio-economic impacts of bioenergy production, these are generally not included in existing bioenergy initiatives. At the same time, the overview shows a strong proliferation of standards. The overview shows that certification has the potential to influence direct, local impacts related to environmental and social effects of direct bioenergy production. Key recommendations to come to an efficient certification system include the need for further harmonization, availability of reliable data and linking indicators on a micro, meso and macro levels. Considering the multiple spatial scales, certification should be combined with additional measurements and tools on a regional, national and international level. The role of bioenergy production on indirect land use change (ILUC) is still very uncertain and current initiatives have rarely captured impacts from ILUC in their standards. Addressing unwanted LUC requires first of all sustainable land use production and good governance, regardless of the end-use of the product. It is therefore recommended to extend measures to mitigate impacts from LUC to other lands and feedstock. (author)

  2. Integrated modelling of nitrate loads to coastal waters and land rent applied to catchment scale water management

    DEFF Research Database (Denmark)

    Jacosen, T.; Refsgaard, A.; Jacobsen, Brian H.

    Abstract The EU WFD requires an integrated approach to river basin management in order to meet environmental and ecological objectives. This paper presents concepts and full-scale application of an integrated modelling framework. The Ringkoebing Fjord basin is characterized by intensive agricultu...... in comprehensive, integrated modelling tools.......Abstract The EU WFD requires an integrated approach to river basin management in order to meet environmental and ecological objectives. This paper presents concepts and full-scale application of an integrated modelling framework. The Ringkoebing Fjord basin is characterized by intensive...... agricultural production and leakage of nitrate constitute a major pollution problem with respect groundwater aquifers (drinking water), fresh surface water systems (water quality of lakes) and coastal receiving waters (eutrophication). The case study presented illustrates an advanced modelling approach applied...

  3. Integrated modelling of nitrate loads to coastal waters and land rent applied to catchment-scale water management

    DEFF Research Database (Denmark)

    Refsgaard, A.; Jacobsen, T.; Jacobsen, Brian H.

    2007-01-01

    The EU Water Framework Directive (WFD) requires an integrated approach to river basin management in order to meet environmental and ecological objectives. This paper presents concepts and full-scale application of an integrated modelling framework. The Ringkoebing Fjord basin is characterized by ...... the potential and limitations of comprehensive, integrated modelling tools.  ......The EU Water Framework Directive (WFD) requires an integrated approach to river basin management in order to meet environmental and ecological objectives. This paper presents concepts and full-scale application of an integrated modelling framework. The Ringkoebing Fjord basin is characterized...... by intensive agricultural production and leakage of nitrate constitute a major pollution problem with respect groundwater aquifers (drinking water), fresh surface water systems (water quality of lakes) and coastal receiving waters (eutrophication). The case study presented illustrates an advanced modelling...

  4. NASA Land Cover and Land Use Change (LCLUC): an interdisciplinary research program.

    Science.gov (United States)

    Justice, Chris; Gutman, Garik; Vadrevu, Krishna Prasad

    2015-01-15

    Understanding Land Cover/Land Use Change (LCLUC) in diverse regions of the world and at varied spatial scales is one of the important challenges in global change research. In this article, we provide a brief overview of the NASA LCLUC program, its focus areas, and the importance of satellite remote sensing observations in LCLUC research including future directions. The LCLUC Program was designed to be a cross-cutting theme within NASA's Earth Science program. The program aims to develop and use remote sensing technologies to improve understanding of human interactions with the environment. Since 1997, the NASA LCLUC program has supported nearly 280 research projects on diverse topics such as forest loss and carbon, urban expansion, land abandonment, wetland loss, agricultural land use change and land use change in mountain systems. The NASA LCLUC program emphasizes studies where land-use changes are rapid or where there are significant regional or global LCLUC implications. Over a period of years, the LCLUC program has contributed to large regional science programs such as Land Biosphere-Atmosphere (LBA), the Northern Eurasia Earth Science Partnership Initiative (NEESPI), and the Monsoon Area Integrated Regional Study (MAIRS). The primary emphasis of the program will remain on using remote sensing datasets for LCLUC research. The program will continue to emphasize integration of physical and social sciences to address regional to global scale issues of LCLUC for the benefit of society. Copyright © 2014. Published by Elsevier Ltd.

  5. Integrated Clinical Decision Support Systems Promote Absolute Cardiovascular Risk Assessment: An Important Primary Prevention Measure in Aboriginal and Torres Strait Islander Primary Health Care

    Directory of Open Access Journals (Sweden)

    Veronica Matthews

    2017-09-01

    Full Text Available BackgroundAboriginal and Torres Strait Islander Australians experience a greater burden of disease compared to non-Indigenous Australians. Around one-fifth of the health disparity is caused by cardiovascular disease (CVD. Despite the importance of absolute cardiovascular risk assessment (CVRA as a screening and early intervention tool, few studies have reported its use within the Australian Indigenous primary health care (PHC sector. This study utilizes data from a large-scale quality improvement program to examine variation in documented CVRA as a primary prevention strategy for individuals without prior CVD across four Australian jurisdictions. We also examine the proportion with elevated risk and follow-up actions recorded.MethodsWe undertook cross-sectional analysis of 2,052 client records from 97 PHC centers to assess CVRA in Indigenous adults aged ≥20 years with no recorded chronic disease diagnosis (2012–2014. Multilevel regression was used to quantify the variation in CVRA attributable to health center and client level factors. The main outcome measure was the proportion of eligible adults who had CVRA recorded. Secondary outcomes were the proportion of clients with elevated risk that had follow-up actions recorded.ResultsApproximately 23% (n = 478 of eligible clients had documented CVRA. Almost all assessments (99% were conducted in the Northern Territory. Within this jurisdiction, there was wide variation between centers in the proportion of clients with documented CVRA (median 38%; range 0–86%. Regression analysis showed health center factors accounted for 48% of the variation. Centers with integrated clinical decision support systems were more likely to document CVRA (OR 21.1; 95% CI 5.4–82.4; p < 0.001. Eleven percent (n = 53 of clients were found with moderate/high CVD risk, of whom almost one-third were under 35 years (n = 16. Documentation of follow-up varied with respect to the targeted risk factor

  6. Lessons from case studies of integrating mental health into primary health care in South Africa and Uganda

    Directory of Open Access Journals (Sweden)

    Bhana Arvin

    2011-04-01

    Full Text Available Abstract Background While decentralized and integrated primary mental healthcare forms the core of mental health policies in many low- and middle-income countries (LMICs, implementation remains a challenge. The aim of this study was to understand how the use of a common implementation framework could assist in the integration of mental health into primary healthcare in Ugandan and South African district demonstration sites. The foci and form of the services developed differed across the country sites depending on the service gaps and resources available. South Africa focused on reducing the service gap for common mental disorders and Uganda, for severe mental disorders. Method A qualitative post-intervention process evaluation using focus group and individual interviews with key stakeholders was undertaken in both sites. The emergent data was analyzed using framework analysis. Results Sensitization of district management authorities and the establishment of community collaborative multi-sectoral forums assisted in improving political will to strengthen mental health services in both countries. Task shifting using community health workers emerged as a promising strategy for improving access to services and help seeking behaviour in both countries. However, in Uganda, limited application of task shifting to identification and referral, as well as limited availability of psychotropic medication and specialist mental health personnel, resulted in a referral bottleneck. To varying degrees, community-based self-help groups showed potential for empowering service users and carers to become more self sufficient and less dependent on overstretched healthcare systems. They also showed potential for promoting social inclusion and addressing stigma, discrimination and human rights abuses of people with mental disorders in both country sites. Conclusions A common implementation framework incorporating a community collaborative multi-sectoral, task shifting

  7. US NRC research on the integrity of piping in nuclear reactor primary systems

    International Nuclear Information System (INIS)

    Serpan, C.Z. Jr.

    1983-01-01

    This paper has attempted to provide a ''snapshot'' of the activities underway in NRC on the subject of LWR piping integrity as of the summer and fall of 1983. The paper is necessarily vague on certain topics of policy because they are either under review or are under development and the outcome cannot be accurately forecast at this time. Particularly in the area of BWR pipe cracking, events are very rapid so that positions and actions described in this paper may well be obsolete by the time it is published. Nevertheless, the activities and positions are as accurate as possible at the time of writing. Certainly the longer-range aspects of the research program represent the current direction and intent of NRC; nevertheless, as results come in and actions occur in the licensing and regulation arena of operating reactors, the emphasis of the research programs will necessarily shift to accommodate them so as to remain as relevant as possible. Thus, this paper is useful to show the intentions of NRC in the area of research for LWR piping, and it is also useful to document the status of the regulations on piping for which the research is being performed. (orig.)

  8. Integrated assessment of the impact of climate and land use changes on groundwater quantity and quality in the Mancha Oriental system (Spain)

    Science.gov (United States)

    Pulido-Velazquez, M.; Peña-Haro, S.; García-Prats, A.; Mocholi-Almudever, A. F.; Henriquez-Dole, L.; Macian-Sorribes, H.; Lopez-Nicolas, A.

    2015-04-01

    Climate and land use change (global change) impacts on groundwater systems cannot be studied in isolation. Land use and land cover (LULC) changes have a great impact on the water cycle and contaminant production and transport. Groundwater flow and storage are changing in response not only to climatic changes but also to human impacts on land uses and demands, which will alter the hydrologic cycle and subsequently impact the quantity and quality of regional water systems. Predicting groundwater recharge and discharge conditions under future climate and land use changes is essential for integrated water management and adaptation. In the Mancha Oriental system (MOS), one of the largest groundwater bodies in Spain, the transformation from dry to irrigated lands during the last decades has led to a significant drop of the groundwater table, with the consequent effect on stream-aquifer interaction in the connected Jucar River. Understanding the spatial and temporal distribution of water quantity and water quality is essential for a proper management of the system. On the one hand, streamflow depletion is compromising the dependent ecosystems and the supply to the downstream demands, provoking a complex management issue. On the other hand, the intense use of fertilizer in agriculture is leading to locally high groundwater nitrate concentrations. In this paper we analyze the potential impacts of climate and land use change in the system by using an integrated modeling framework that consists in sequentially coupling a watershed agriculturally based hydrological model (Soil and Water Assessment Tool, SWAT) with a groundwater flow model developed in MODFLOW, and with a nitrate mass-transport model in MT3DMS. SWAT model outputs (mainly groundwater recharge and pumping, considering new irrigation needs under changing evapotranspiration (ET) and precipitation) are used as MODFLOW inputs to simulate changes in groundwater flow and storage and impacts on stream

  9. Systematic review of integrated models of health care delivered at the primary-secondary interface: how effective is it and what determines effectiveness?

    Science.gov (United States)

    Mitchell, Geoffrey K; Burridge, Letitia; Zhang, Jianzhen; Donald, Maria; Scott, Ian A; Dart, Jared; Jackson, Claire L

    2015-01-01

    Integrated multidisciplinary care is difficult to achieve between specialist clinical services and primary care practitioners, but should improve outcomes for patients with chronic and/or complex chronic physical diseases. This systematic review identifies outcomes of different models that integrate specialist and primary care practitioners, and characteristics of models that delivered favourable clinical outcomes. For quality appraisal, the Cochrane Risk of Bias tool was used. Data are presented as a narrative synthesis due to marked heterogeneity in study outcomes. Ten studies were included. Publication bias cannot be ruled out. Despite few improvements in clinical outcomes, significant improvements were reported in process outcomes regarding disease control and service delivery. No study reported negative effects compared with usual care. Economic outcomes showed modest increases in costs of integrated primary-secondary care. Six elements were identified that were common to these models of integrated primary-secondary care: (1) interdisciplinary teamwork; (2) communication/information exchange; (3) shared care guidelines or pathways; (4) training and education; (5) access and acceptability for patients; and (6) a viable funding model. Compared with usual care, integrated primary-secondary care can improve elements of disease control and service delivery at a modestly increased cost, although the impact on clinical outcomes is limited. Future trials of integrated care should incorporate design elements likely to maximise effectiveness.

  10. A new evolutionary solution method for dynamic expansion planning of DG-integrated primary distribution networks

    International Nuclear Information System (INIS)

    Ahmadigorji, Masoud; Amjady, Nima

    2014-01-01

    Highlights: • A new dynamic distribution network expansion planning model is presented. • A Binary Enhanced Particle Swarm Optimization (BEPSO) algorithm is proposed. • A Modified Differential Evolution (MDE) algorithm is proposed. • A new bi-level optimization approach composed of BEPSO and MDE is presented. • The effectiveness of the proposed optimization approach is extensively illustrated. - Abstract: Reconstruction in the power system and appearing of new technologies for generation capacity of electrical energy has led to significant innovation in Distribution Network Expansion Planning (DNEP). Distributed Generation (DG) includes the application of small/medium generation units located in power distribution networks and/or near the load centers. Appropriate utilization of DG can affect the various technical and operational indices of the distribution network such as the feeder loading, energy losses and voltage profile. In addition, application of DG in proper size is an essential tool to achieve the DG maximum potential benefits. In this paper, a time-based (dynamic) model for DNEP is proposed to determine the optimal size, location and installation year of DG in distribution system. Also, in this model, the Optimal Power Flow (OPF) is exerted to determine the optimal generation of DGs for every potential solution in order to minimize the investment and operation costs following the load growth in a specified planning period. Besides, the reinforcement requirements of existing distribution feeders are considered, simultaneously. The proposed optimization problem is solved by the combination of evolutionary methods of a new Binary Enhanced Particle Swarm Optimization (BEPSO) and Modified Differential Evolution (MDE) to find the optimal expansion strategy and solve OPF, respectively. The proposed planning approach is applied to two typical primary distribution networks and compared with several other methods. These comparisons illustrate the

  11. Integrating ASCAT surface soil moisture and GEOV1 leaf area index into the SURFEX modelling platform: a land data assimilation application over France

    Directory of Open Access Journals (Sweden)

    A. L. Barbu

    2014-01-01

    Full Text Available The land monitoring service of the European Copernicus programme has developed a set of satellite-based biogeophysical products, including surface soil moisture (SSM and leaf area index (LAI. This study investigates the impact of joint assimilation of remotely sensed SSM derived from Advanced Scatterometer (ASCAT backscatter data and the Copernicus Global Land GEOV1 satellite-based LAI product into the the vegetation growth version of the Interactions between Soil Biosphere Atmosphere (ISBA-A-gs land surface model within the the externalised surface model (SURFEX modelling platform of Météo-France. The ASCAT data were bias corrected with respect to the model climatology by using a seasonal-based CDF (Cumulative Distribution Function matching technique. A multivariate multi-scale land data assimilation system (LDAS based on the extended Kalman Filter (EKF is used for monitoring the soil moisture, terrestrial vegetation, surface carbon and energy fluxes across the domain of France at a spatial resolution of 8 km. Each model grid box is divided into a number of land covers, each having its own set of prognostic variables. The filter algorithm is designed to provide a distinct analysis for each land cover while using one observation per grid box. The updated values are aggregated by computing a weighted average. In this study, it is demonstrated that the assimilation scheme works effectively within the ISBA-A-gs model over a four-year period (2008–2011. The EKF is able to extract useful information from the data signal at the grid scale and distribute the root-zone soil moisture and LAI increments throughout the mosaic structure of the model. The impact of the assimilation on the vegetation phenology and on the water and carbon fluxes varies from one season to another. The spring drought of 2011 is an interesting case study of the potential of the assimilation to improve drought monitoring. A comparison between simulated and in situ soil

  12. Characterizing urbanization impacts on floodplain through integrated land use, hydrologic, and hydraulic modeling: Applications to a watershed in northwest Houston, TX

    Science.gov (United States)

    Gori, A.; Juan, A.; Blessing, R.; Brody, S.; Bedient, P. B.

    2017-12-01

    The FEMA 100 year floodplain serves as the benchmark for characterizing and managing flood risk in the United States. However, it is usually generated by using methodologies that are too simplistic to accurately depict the spatial reality of flood risk, and often fail to consider non-stationary variables such as changing land use conditions or precipitation patterns. The impacts of these limitations are evidenced in Houston, TX, where rainfall-induced flooding has resulted in billions of dollars in commercial and residential damage over the past two decades, much of which has occurred outside of the 100 year floodplain. Specifically, rapid urbanization has drastically increased overland runoff and resulting peak flows, thereby exposing new areas to flood risks. It is therefore crucial to examine the impacts of future land development on floodplain depth and extent in order to develop effective long-term stormwater management and mitigation strategies. This study presents a methodology for characterizing the impacts of future development on flood risk in an urbanizing watershed by integrating land use projection and high-resolution hydrologic / hydraulic modeling. Development projections are generated by identifying historical land use/ land cover change (LULCC) drivers, which are incorporated into an artificial neural network (ANN) to predict development conditions out to 2040. Hydrologic modeling of current and projected land cover conditions is achieved through a physics-based distributed hydrologic model. Finally, a coupled 1D/2D unsteady hydraulic model is used to simulate floodplain depths and extents, and to generate floodplain maps for all considered scenarios. This methodology is applied to the Cypress Creek watershed in northwest Houston, TX, a partially-developed watershed which is expected to rapidly urbanize for the next few decades. The study quantifies floodplain changes (i.e., extent and depth) and the number of impacted residences, and also

  13. Interpreting land records

    CERN Document Server

    Wilson, Donald A

    2014-01-01

    Base retracement on solid research and historically accurate interpretation Interpreting Land Records is the industry's most complete guide to researching and understanding the historical records germane to land surveying. Coverage includes boundary retracement and the primary considerations during new boundary establishment, as well as an introduction to historical records and guidance on effective research and interpretation. This new edition includes a new chapter titled "Researching Land Records," and advice on overcoming common research problems and insight into alternative resources wh

  14. Better, Sooner, More Convenient? The reality of pursuing greater integration between primary and secondary healthcare providers in New Zealand.

    Science.gov (United States)

    Lovelock, Kirsten; Martin, Greg; Gauld, Robin; MacRae, Jayden

    2017-01-01

    This article focuses on the results of evaluations of two business plans developed in response to a policy initiative which aimed to achieve greater integration between primary and secondary health providers in New Zealand. We employ the Consolidated Framework for Implementation Research to inform our analysis. The Better, Sooner, More Convenient policy programme involved the development of business plans and, within each business plan, a range of areas of focus and associated work-streams. The evaluations employed a mixed method multi-level case study design, involving qualitative face-to-face interviews with front-line staff, clinicians and management in two districts, one in the North Island and the other in the South Island, and an analysis of routine data tracked ambulatory sensitive hospitalisations and emergency department presentations. Two postal surveys were conducted, one focussing on the patient care experiences of integration and care co-ordination and the second focussing on the perspectives of health professionals in primary and secondary settings in both districts. Both evaluations revealed non-significant changes in ambulatory sensitive hospitalisations and emergency department presentation rates and slow uneven progress with areas of focus and their associated work-streams. Our evaluations revealed a range of implementation issues, the barriers and facilitators to greater integration of healthcare services and the implications for those who were responsible for putting policy into practice. The business plans were shown to be overly ambitious and compromised by the size and scope of the business plans; dysfunctional governance arrangements and associated accountability issues; organisational inability to implement change quickly with appropriate and timely funding support; an absence of organisational structural change allowing parity with the policy objectives; barriers that were encountered because of inadequate attention to organisational

  15. Better, Sooner, More Convenient? The reality of pursuing greater integration between primary and secondary healthcare providers in New Zealand

    Directory of Open Access Journals (Sweden)

    Kirsten Lovelock

    2017-03-01

    Full Text Available Objectives: This article focuses on the results of evaluations of two business plans developed in response to a policy initiative which aimed to achieve greater integration between primary and secondary health providers in New Zealand. We employ the Consolidated Framework for Implementation Research to inform our analysis. The Better, Sooner, More Convenient policy programme involved the development of business plans and, within each business plan, a range of areas of focus and associated work-streams. Methods: The evaluations employed a mixed method multi-level case study design, involving qualitative face-to-face interviews with front-line staff, clinicians and management in two districts, one in the North Island and the other in the South Island, and an analysis of routine data tracked ambulatory sensitive hospitalisations and emergency department presentations. Two postal surveys were conducted, one focussing on the patient care experiences of integration and care co-ordination and the second focussing on the perspectives of health professionals in primary and secondary settings in both districts. Results: Both evaluations revealed non-significant changes in ambulatory sensitive hospitalisations and emergency department presentation rates and slow uneven progress with areas of focus and their associated work-streams. Our evaluations revealed a range of implementation issues, the barriers and facilitators to greater integration of healthcare services and the implications for those who were responsible for putting policy into practice. Conclusion: The business plans were shown to be overly ambitious and compromised by the size and scope of the business plans; dysfunctional governance arrangements and associated accountability issues; organisational inability to implement change quickly with appropriate and timely funding support; an absence of organisational structural change allowing parity with the policy objectives; barriers that were

  16. Coupling Intensive Land Use and Landscape Ecological Security for Urban Sustainability: An Integrated Socioeconomic Data and Spatial Metrics Analysis in Hangzhou City

    Directory of Open Access Journals (Sweden)

    Xiaoteng Cen

    2015-01-01

    Full Text Available Despite the unprecedented rate of urbanization throughout the world, human society is still facing the challenge of coordinating urban socioeconomic development and ecological conservation. In this article, we integrated socioeconomic data and spatial metrics to investigate the coupling relationship between intensive land use (ILU system and landscape ecological security (LES system for urban sustainable development, and to determine how these systems interact with each other. The values of ILU and LES were first calculated according to two evaluation subsystems under the pressure-state-response (PSR framework. A coupling model was then established to analyze the coupling relationship within these two subsystems. The results showed that the levels of both subsystems were generally increasing, but there were several fluctuation changes in LES. The interaction in each system was time lagged; urban land use/cover change (LUCC and ecosystem transformation were determined by political business cycles and influenced by specific factors. The coupling relationship underwent a coordinated development mode from 1992–2012. From the findings we concluded that the coupling system maintained a stable condition and underwent evolving threshold values. The integrated ILU and LES system was a coupling system in which subsystems were related to each other and internal elements had mutual effects. Finally, it was suggested that our results provided a multi-level interdisciplinary perspective on linking socioeconomic-ecological systems. The implications for urban sustainable development were also discussed.

  17. [Evaluation study on integration effect of taohong siwu tang in treating primary dysmenorrhea].

    Science.gov (United States)

    Liu, Li; Duan, Jin-Ao; Hua, Yong-Qing; Liu, Pei; Shang, Er-Xin; Tang, Yu-Ping; Su, Shu-Lan

    2012-11-01

    To evaluate the effect of Taohong Siwu Tang and its fractions on hotplate-induced pain in mice, acetic acid-induced writhing response, dysmenorrheal model and isolated uterine contraction in vitro in mice, and discuss material basis of effect sites. The samples of fractions were prepared by macroporous adsorptive resins (TH-1-TH-15). In the whole animal experiment, the hotplate-induced pain mice model was established to observe the effect of the samples on pain threshold in mice; the acetic acid-induced writhing response mice model was built to observe the effect of the samples on the writhing response in mice; the mice dysmenorrheal model was established to observe the effect of the samples on the writhing response, and calcium ion (Ca2+) and nitric oxide (NO) levels in uterine tissue of mice. In the isolated uterus contraction experiment, the oxytocin-induced isolated uterus contraction mice model was established to observe the effect of the samples on the isolated uterus contraction index. HPLC-DAD method was adopted for the content determination of effect sites. According to the evaluation of the integration geological effect, beside TH-2 and TH-4, other three active fractions (TH-9, TH-10 and TH-11) extracted from Taohong Siwu Tang are the main effect sites. Their chemical components were analyzed and identified as monoterpene glycosides, phthalides, organic acids, etc. The effect sites of Taohong Siwu Tang on dysmenorrhea are TH-9, TH-10 and TH-11, which are 30% - 50% active fractions obtained from water-soluble small-molecular fractions by gradient elution using ethanol through macroporous absorption resin. Compared with TH-10 and TH-11, TH-9 shows stronger effect, which may be related to the type and content of chemical components it contains.

  18. THE INTEGRATION OF INFORMATION AND COMMUNICATION TECHNOLOGY (ICT INTO PRIMARY SCHOOLS CURRICULUM

    Directory of Open Access Journals (Sweden)

    Olaniyi Alaba Sofowora

    2012-06-01

    Full Text Available This study is a critical overview of the efforts of the Nigerian government at integrating Information and Communication Technology (ICT into education. It also assessed the availability of these facilities and infrastructure as stated in the strategic ICT objectives. The study in addition investigated whether the sample used have the skills needed for ICT utilization and factors/challenges that affects the diffusion of ICT in education. This is with the ultimate view of providing empirical information on the extent of achieving the vision and objectives of the National policy for ICT in Nigeria. The study employed exploratory research design. Three hundred participants constituted the sample for this study. The sample was selected from ten schools using simple random sampling technique. While the schools were selected using stratified sampling technique, based on the Local Education Authority Area, school type and location. The research instrument is made up of a self-designed questionnaire on five point Likert Scale. They were derived from relevant literature and the research objectives and were validated by exerts from the Departments of Educational Technology, Educational Foundations and Counseling and ICT teachers in public schools in Ife for content validity. The reliability of the instrument was also determined using Pearson Moment Correlation. A correlation of 0.87 was found. The data was analyzed using One way analysis of Variance (ANOVA .The findings showed that ICT facilities are not universally available. It was also found that 10 years after the enactment of the Nigerian National ICT Policy, internet services are yet to be fully made available in all the government Institutions in Nigeria

  19. [Integration of mental health and chronic non-communicable diseases in Peru: challenges and opportunities for primary care settings].

    Science.gov (United States)

    Diez-Canseco, Francisco; Ipince, Alessandra; Toyama, Mauricio; Benate-Galvez, Ysabel; Galán-Rodas, Edén; Medina-Verástegui, Julio César; Sánchez-Moreno, David; Araya, Ricardo; Miranda, J Jaime

    2014-01-01

    In this article, the relationship between mental health and chronic non-communicable diseases is discussed as well as the possibility to address them in a comprehensive manner in the Peruvian health system. First, the prevalence estimates and the burden of chronic non-communicable diseases and mental disorders worldwide and in Peru are reviewed. Then, the detrimental impact of depression in the early stages as well as the progress of diabetes and cardiovascular diseases is described. Additionally, the gap between access to mental health care in Peru is analyzed. Lastly, the alternatives to reduce the gap are explored. Of these alternatives, the integration of mental health into primary care services is emphasized; as a feasible way to meet the care needs of the general population, and people with chronic diseases in particular, in the Peruvian context.

  20. Primary Copper Smelter and Refinery as a Recycling Plant—A System Integrated Approach to Estimate Secondary Raw Material Tolerance

    Directory of Open Access Journals (Sweden)

    Olof Forsén

    2017-10-01

    Full Text Available The primary production of sulfide concentrates includes smelting to copper matte or blister copper, conversion of matte to blister copper, and refining to copper. Smelting, converting, and fire-refining can use a limited amount of secondary materials. Molten copper can effectively dissolve many metals, from valuable noble metals to harmful impurities such as bismuth. However, some of the impurity metals in copper are valuable in other applications. In this paper, we outline the main material flows in copper smelting and electrorefining and describe how minor metals can be recovered from secondary raw materials using copper as a carrier material. We will use a system integrated approach to define the factors that affect the recovery of different metals and copper quality. Metals typical in copper production are used as examples, like noble metals, As, Bi, Se, and Te, including metals in the EU critical raw materials list like PGM and Sb.

  1. Teachers' perceptions of the benefits and the challenges of integrating educational robots into primary/elementary curricula

    Science.gov (United States)

    Khanlari, Ahmad

    2016-05-01

    Twenty-first century education systems should create an environment wherein students encounter critical learning components (such as problem-solving, teamwork, and communication skills) and embrace lifelong learning. A review of literature demonstrates that new technologies, in general, and robotics, in particular, are well suited for this aim. This study aims to contribute to the literature by studying teachers' perceptions of the effects of using robotics on students' lifelong learning skills. This study also seeks to better understand teachers' perceptions of the barriers of using robotics and the support they need. Eleven primary/elementary teachers from Newfoundland and Labrador English Schools District participated in this study. The results of this study revealed that robotics is perceived by teachers to have positive effects on students' lifelong learning skills. Furthermore, the participants indicated a number of barriers to integrate robotics into their teaching activities and expressed the support they need.

  2. Integral forged pump casing for the primary coolant circuit of a nuclear reactor: Development in design, forging technology, and material

    International Nuclear Information System (INIS)

    Austel, W.; Korbe, H.

    1986-01-01

    Developments in the forging of large casings for primary circuit coolant pumps for light water reactors in Germany are demonstrated beginning with the multiple forging fabricated version and ending with the integral forged type. This version is the result of the joint efforts of the pump manufacturer and the forgemaster after a cost-gain evaluation and represents an optimum solution in view of its functional and economical performance and also considering the high requirements for mechanical-technological properties, including homogeneity of the material. The development from 22 NiMoCr 3 7/A 508 Class 2 to 20 MnMoNi 5 5/A 508 Class 3 and their optimization will be demonstrated. This development is based mainly on minimizing the sulfur content and on vacuum carbon deoxidation (VCD), which results in a reduction of the A-segregations, in improving fracture toughness and isotropy, and in the desired fine-grain structure

  3. A Pragmatic Guide to the Setting up of Integrated Hypnotherapy Services in Primary Care and Clinical Settings.

    Science.gov (United States)

    Entwistle, Paul Andrew

    2017-01-01

    Despite the continued debate and lack of a clear consensus about the true nature of the hypnotic phenomenon, hypnosis is increasingly being utilized successfully in many medical, health, and psychological spheres as a research method, motivational tool, and therapeutic modality. Significantly, however, although hypnotherapy is widely advertised, advocated, and employed in the private medical arena for the management and treatment of many physical and emotional disorders, too little appears to be being done to integrate hypnosis into primary care and national health medical services. This article discusses some of the reasons for the apparent reluctance of medical and scientific health professionals to consider incorporating hypnosis into their medical practice, including the practical problems inherent in using hypnosis in a medical context and some possible solutions.

  4. A governance model for integrated primary/secondary care for the health-reforming first world - results of a systematic review.

    Science.gov (United States)

    Nicholson, Caroline; Jackson, Claire; Marley, John

    2013-12-20

    Internationally, key health care reform elements rely on improved integration of care between the primary and secondary sectors. The objective of this systematic review is to synthesise the existing published literature on elements of current integrated primary/secondary health care. These elements and how they have supported integrated healthcare governance are presented. A systematic review of peer-reviewed literature from PubMed, MEDLINE, CINAHL, the Cochrane Library, Informit Health Collection, the Primary Health Care Research and Information Service, the Canadian Health Services Research Foundation, European Foundation for Primary Care, European Forum for Primary Care, and Europa Sinapse was undertaken for the years 2006-2012. Relevant websites were also searched for grey literature. Papers were assessed by two assessors according to agreed inclusion criteria which were published in English, between 2006-2012, studies describing an integrated primary/secondary care model, and had reported outcomes in care quality, efficiency and/or satisfaction. Twenty-one studies met the inclusion criteria. All studies evaluated the process of integrated governance and service delivery structures, rather than the effectiveness of services. They included case reports and qualitative data analyses addressing policy change, business issues and issues of clinical integration. A thematic synthesis approach organising data according to themes identified ten elements needed for integrated primary/secondary health care governance across a regional setting including: joint planning; integrated information communication technology; change management; shared clinical priorities; incentives; population focus; measurement - using data as a quality improvement tool; continuing professional development supporting joint working; patient/community engagement; and, innovation. All examples of successful primary/secondary care integration reported in the literature have focused on a combination

  5. A governance model for integrated primary/secondary care for the health-reforming first world – results of a systematic review

    Science.gov (United States)

    2013-01-01

    Background Internationally, key health care reform elements rely on improved integration of care between the primary and secondary sectors. The objective of this systematic review is to synthesise the existing published literature on elements of current integrated primary/secondary health care. These elements and how they have supported integrated healthcare governance are presented. Methods A systematic review of peer-reviewed literature from PubMed, MEDLINE, CINAHL, the Cochrane Library, Informit Health Collection, the Primary Health Care Research and Information Service, the Canadian Health Services Research Foundation, European Foundation for Primary Care, European Forum for Primary Care, and Europa Sinapse was undertaken for the years 2006–2012. Relevant websites were also searched for grey literature. Papers were assessed by two assessors according to agreed inclusion criteria which were published in English, between 2006–2012, studies describing an integrated primary/secondary care model, and had reported outcomes in care quality, efficiency and/or satisfaction. Results Twenty-one studies met the inclusion criteria. All studies evaluated the process of integrated governance and service delivery structures, rather than the effectiveness of services. They included case reports and qualitative data analyses addressing policy change, business issues and issues of clinical integration. A thematic synthesis approach organising data according to themes identified ten elements needed for integrated primary/secondary health care governance across a regional setting including: joint planning; integrated information communication technology; change management; shared clinical priorities; incentives; population focus; measurement – using data as a quality improvement tool; continuing professional development supporting joint working; patient/community engagement; and, innovation. Conclusions All examples of successful primary/secondary care integration reported in

  6. Integrating stations from the North America Gravity Database into a local GPS-based land gravity survey

    Science.gov (United States)

    Shoberg, Thomas G.; Stoddard, Paul R.

    2013-01-01

    The ability to augment local gravity surveys with additional gravity stations from easily accessible national databases can greatly increase the areal coverage and spatial resolution of a survey. It is, however, necessary to integrate such data seamlessly with the local survey. One challenge to overcome in integrating data from national databases is that these data are typically of unknown quality. This study presents a procedure for the evaluation and seamless integration of gravity data of unknown quality from a national database with data from a local Global Positioning System (GPS)-based survey. The starting components include the latitude, longitude, elevation and observed gravity at each station location. Interpolated surfaces of the complete Bouguer anomaly are used as a means of quality control and comparison. The result is an integrated dataset of varying quality with many stations having GPS accuracy and other reliable stations of unknown origin, yielding a wider coverage and greater spatial resolution than either survey alone.

  7. Is integration of healthy lifestyle promotion into primary care feasible? Discussion and consensus sessions between clinicians and researchers

    Directory of Open Access Journals (Sweden)

    Arrazola Arantza

    2008-10-01

    Full Text Available Abstract Background The adoption of a healthy lifestyle, including physical activity, a healthy diet, moderate alcohol consumption and abstinence from smoking, is associated with a major decrease in the incidence of chronic diseases and mortality. Primary health-care (PHC services therefore attempt, with rather limited success, to promote such lifestyles in their patients. The objective of the present study is to ascertain the perceptions of clinicians and researchers within the Basque Health System of the factors that hinder or facilitate the integration of healthy lifestyle promotion in routine PHC setting. Methods Formative research based on five consensus meetings held by an expert panel of 12 PHC professionals with clinical and research experience in health promotion, supplied with selected bibliographic material. These meetings were recorded, summarized and the provisional findings were returned to participants in order to improve their validity. Results The Health Belief Model, the Theory of Planned Action, the Social Learning Theory, "stages of change" models and integrative models were considered the most useful by the expert panel. Effective intervention strategies, such as the "5 A's" strategy (assess, advise, agree, assist and arrange are also available. However, none of these can be directly implemented or continuously maintained under current PHC conditions. These strategies should therefore be redesigned by adjusting the intervention objectives and contents to the operation of primary care centres and, in turn, altering the organisation of the centres where they are to be implemented. Conclusion It is recommended to address optimisation of health promotion in PHC from a research perspective in which PHC professionals, researchers and managers of these services cooperate in designing and evaluating innovative programs. Future strategies should adopt a socio-ecological approach in which the health system plays an essential role but

  8. Integrated Palmer Amaranth Management in Glufosinate-Resistant Cotton: II. Primary, Secondary and Conservation Tillage

    Directory of Open Access Journals (Sweden)

    Michael G. Patterson

    2013-01-01

    Full Text Available A three year field experiment was conducted to evaluate the role of soil inversion, cover crops and spring tillage methods for Palmer amaranth between-row (BR and within-row (WR management in glufosinate-resistant cotton. Main plots were two soil inversion treatments: fall inversion tillage (IT and non-inversion tillage (NIT. Subplots were three cover treatments: crimson clover, cereal rye or none (i.e., winter fallow; and the sub subplots were four secondary spring tillage methods: disking followed by (fb cultivator (DCU, disking fb chisel plow (DCH, disking fb disking (DD and no tillage (NT. Averaged over years and soil inversion, the crimson clover produced maximum cover biomass (4390 kg ha−1 fb cereal rye (3698 kg ha−1 and winter fallow (777 kg ha−1. Two weeks after planting (WAP and before the postemergence (POST application, Palmer amaranth WR and BR density were two- and four-times less, respectively, in IT than NIT. Further, Palmer amaranth WR and BR density were reduced two-fold following crimson clover and cereal rye than following winter fallow at 2 WAP. Without IT, early season Palmer amaranth densities were 40% less following DCU, DCH and DD, when compared with IT. Following IT, no spring tillage method improved Palmer amaranth control. The timely application of glufosinate + S-metolachlor POST tank mixture greatly improved Palmer amaranth control in both IT and NIT systems. The highest cotton yields were obtained with DD following cereal rye (2251 kg ha−1, DD following crimson clover (2213 kg ha−1 and DD following winter fallow (2153 kg ha−1. On average, IT cotton yields (2133 kg ha−1 were 21% higher than NIT (1766 kg ha−1. Therefore, from an integrated weed management standpoint, an occasional fall IT could greatly reduce Palmer amaranth emergence on farms highly infested with glyphosate-resistant Palmer amaranth. In addition, a cereal rye or crimson clover cover crop can effectively reduce early season Palmer

  9. An integrated analysis of the effects of past land use on forest herb colonization at the landscape scale

    Science.gov (United States)

    Verheyen, K.; Guntenspergen, Glenn R.; Biesbrouck, B.; Hermy, M.

    2003-01-01

    A framework that summarizes the direct and indirect effects of past land use on forest herb recolonization is proposed, and used to analyse the colonization patterns of forest understorey herbaceous species in a 360-ha mixed forest, grassland and arable landscape in the Dijle river valley (central Belgium).Fine-scale distribution maps were constructed for 14 species. The species were mapped in 15 946 forest plots and outside forests (along parcel margins) in 5188 plots. Forest stands varied in age between 1 and more than 224 years. Detailed land-use history data were combined with the species distribution maps to identify species-specific colonization sources and to calculate colonization distances.The six most frequent species were selected for more detailed statistical analysis.Logistic regression models indicated that species frequency in forest parcels was a function of secondary forest age, distance from the nearest colonization source and their interaction. Similar age and distance effects were found within hedgerows.In 199 forest stands, data about soils, canopy structure and the cover of competitive species were collected. The relative importance of habitat quality and spatio-temporal isolation for the colonization of the forest herb species was quantified using structural equation modelling (SEM), within the framework proposed for the effects of past land use.The results of the SEM indicate that, except for the better colonizing species, the measured habitat quality variables are of minor importance in explaining colonization patterns, compared with the combination of secondary forest age and distance from colonization sources.Our results suggest the existence of a two-stage colonization process in which diaspore availability determines the initial pattern, which is affected by environmental sorting at later stages.

  10. Integrated climate and land change research to improve decision-making and resource management in Southern Africa: The SASSCAL approach

    Science.gov (United States)

    Helmschrot, J.; Olwoch, J. M.

    2017-12-01

    The ability of countries in southern Africa to jointly respond to climate challenges with scientifically informed and evidence-based actions and policy decisions remains low due to limited scientific research capacity and infrastructure. The Southern African Science Service Centre for Climate Change and Adaptive Land Management (SASSCAL; www.sasscal.org) addresses this gap by implementing a high-level framework to guide research and innovation investments in climate change and adaptive land management interventions in Southern Africa. With a strong climate service component as cross-cutting topic, SASSCAL's focus is to improve the understanding of climate and land management change impacts on the natural and socio-economic environment in Southern Africa. The paper presents a variety of SASSCAL driven activities which contribute to better understand climate and long-term environmental change dynamics at various temporal and spatial scales in Southern Afrika and how these activities are linked to support research and decision-making to optimize agricultural practices as well as sustainable environmental and water resources management. To provide consistent and reliable climate information for Southern Africa, SASSCAL offers various climate services ranging from real-time climate observation across the region utilizing the SASSCAL WeatherNet to regional climate change analysis and modelling efforts at seasonal-to-decadal timescales using climate data from various sources. SASSCAL also offers the current state of the environment in terms of recent data on changes in the environment that are necessary for setting appropriate adaptation strategies . The paper will further demonstrate how these services are utilized for interdisciplinary research on the impact of climate change on natural resources and socio-economic development in the SASSCAL countries and how this knowledge can be effectively used to mitigate and adapt to climate change by informed decision-making from

  11. Integrating satellite retrieved leaf chlorophyll into land surface models for constraining simulations of water and carbon fluxes

    KAUST Repository

    Houborg, Rasmus

    2013-07-01

    In terrestrial biosphere models, key biochemical controls on carbon uptake by vegetation canopies are typically assigned fixed literature-based values for broad categories of vegetation types although in reality significant spatial and temporal variability exists. Satellite remote sensing can support modeling efforts by offering distributed information on important land surface characteristics, which would be very difficult to obtain otherwise. This study investigates the utility of satellite based retrievals of leaf chlorophyll for estimating leaf photosynthetic capacity and for constraining model simulations of water and carbon fluxes. © 2013 IEEE.

  12. Experiences of primary health care nurses in implementing integrated management of childhood illnesses strategy at selected clinics of Limpopo Province.

    Science.gov (United States)

    Vhuromu, E N; Davhana-Maselesele, M

    2009-09-01

    Treatment of the under five years is a national priority as an attempt in curbing deaths and deformities affecting children. Primary health care was implemented in the clinics in order to help in the treatment of illnesses affecting the community, including children. As a result of childhood illnesses; the World Health Organization (WHO) and United Nation Children's Fund (UNICEF) came up with Integrated Management of Childhood illnesses (IMCI) strategy to enhance treatment of such illnesses in developing countries. Primary health care nurses (PHCNS) in Limpopo Province were also trained to implement the strategy. This study is intended to explore and describe the experiences of PHCNS in implementing the IMCI strategy at selected clinics in Vhembe District in the Limpopo Province. A qualitative, explorative, descriptive and contextual design was used. In-depth interviews were conducted with PHCNS who are IMCI trained and have implemented the strategy for a period of not less than two years. Data analysis was done through using Tesch 's method of open coding for qualitative analysis. Findings revealed that PHCNS had difficulty in rendering IMCI services due to lack of resources and poor working conditions. Recommendations address the difficulties experienced by PHCNS when implementing the IMCI strategy.

  13. Feasibility of an implementation strategy for the integration of health promotion in routine primary care: a quantitative process evaluation.

    Science.gov (United States)

    Sanchez, Alvaro; Grandes, Gonzalo; Cortada, Josep M; Pombo, Haizea; Martinez, Catalina; Corrales, Mary Helen; de la Peña, Enrique; Mugica, Justo; Gorostiza, Esther

    2017-02-17

    Process evaluation is recommended to improve the understanding of underlying mechanisms related to clinicians, patients, context and intervention delivery that may impact on trial or program results, feasibility and transferability to practice. The aim of this study was to assess the feasibility of the Prescribe Healthy Life (PVS from the Spanish "Prescribe Vida Saludable") implementation strategy for enhancing the adoption and implementation of an evidence-based health promotion intervention in primary health care. A descriptive study of 2-year implementation indicators for the PVS clinical intervention was conducted in four primary health care centers. A multifaceted collaborative modeling implementation strategy was developed to enhance the integration of a clinical intervention to promote healthy lifestyles into clinical practice. Process indicators were assessed for intervention reach, adoption, implementation, sustainability and their variability at center, practice, and patient levels. Mean rates of adoption by means of active collaboration among the three main professional categories (family physicians, nurses and administrative personnel) were 75% in all centers. Just over half of the patients that attended (n = 11650; 51.9%) were reached in terms of having their lifestyle habits assessed, while more than a third (33.7%; n = 7433) and almost 10% (n = 2175) received advice or a printed prescription for at least one lifestyle change, respectively. Only 3.7% of the target population received a repeat prescription. These process indicators significantly (p implementation period within centers. The implementation strategy used showed moderate-to-good performance on process indicators related to adoption, reach, and implementation of the evidence-based healthy lifestyle promotion intervention in the context of routine primary care. Sources of heterogeneity and instability in these indicators may improve our understanding of factors required to

  14. Role of non destructive techniques for monitoring structural integrity of primary circuit of pressurized water reactor nuclear power plant

    International Nuclear Information System (INIS)

    Sharma, P.K.; Sreenivas, P.

    2015-01-01

    The safety of nuclear installations is ensured by assessing status of primary equipment for performing the intended function reliably and maintaining the integrity of pressure boundaries. The pressure boundary materials undergo material degradation during the plant operation. Pressure boundary materials are subjected to operating stresses and material degradation that results in material properties changes, discontinuities initiation and increase in size of existing discontinuities. Pre-Service Inspection (PSI) is performed to generate reference base line data of initial condition of the pressure boundary. In-Service Inspections (ISI) are performed periodically to confirm integrity of pressure boundaries through comparison with respect to base line data. The non destructive techniques are deployed considering nature of the discontinuities expected to be generated through operating conditions and degradation mechanisms. The paper is prepared considering Pressurized Water Reactor (PWR) Nuclear Power Plant. The paper describes the degradation mechanisms observed in the PWR nuclear power plants and salient aspect of PSI and ISI and considerations in selecting non destructive testing. The paper also emphasises on application of acoustic emission (AE) based condition monitoring systems that can supplement in-service inspections for detecting and locating discontinuities in pressure boundaries. Criticality of flaws can be quantitatively evaluated by determining their size through in-service inspection. Challenges anticipated in deployment of AE based monitoring system and solutions to cater those challenges are also discussed. (author)

  15. Assessment of land use impact on water-related ecosystem services capturing the integrated terrestrial-aquatic system.

    Science.gov (United States)

    Maes, Wouter H; Heuvelmans, Griet; Muys, Bart

    2009-10-01

    Although the importance of green (evaporative) water flows in delivering ecosystem services has been recognized, most operational impact assessment methods still focus only on blue water flows. In this paper, we present a new model to evaluate the effect of land use occupation and transformation on water quantity. Conceptually based on the supply of ecosystem services by terrestrial and aquatic ecosystems, the model is developed for, but not limited to, land use impact assessment in life cycle assessment (LCA) and requires a minimum amount of input data. Impact is minimal when evapotranspiration is equal to that of the potential natural vegetation, and maximal when evapotranspiration is zero or when it exceeds a threshold value derived from the concept of environmental water requirement. Three refinements to the model, requiring more input data, are proposed. The first refinement considers a minimal impact over a certain range based on the boundary evapotranspiration of the potential natural vegetation. In the second refinement the effects of evaporation and transpiration are accounted for separately, and in the third refinement a more correct estimate of evaporation from a fully sealed surface is incorporated. The simplicity and user friendliness of the proposed impact assessment method are illustrated with two examples.

  16. An integrated approach for estimating global glacio isostatic adjustment, land ice, hydrology and ocean mass trends within a complete coupled Earth system framework

    Science.gov (United States)

    Schumacher, M.; Bamber, J. L.; Martin, A.

    2016-12-01

    Future sea level rise (SLR) is one of the most serious consequences of climate change. Therefore, understanding the drivers of past sea level change is crucial for improving predictions. SLR integrates many Earth system components including oceans, land ice, terrestrial water storage, as well as solid Earth effects. Traditionally, each component have been tackled separately, which has often lead to inconsistencies between discipline-specific estimates of each part of the sea level budget. To address these issues, the European Research Council has funded a five year project aimed at producing a physically-based, data-driven solution for the complete coupled land-ocean-solid Earth system that is consistent with the full suite of observations, prior knowledge and fundamental geophysical constraints. The project is called "GlobalMass" and based at University of Bristol. Observed mass movement from the GRACE mission plus vertical land motion from a global network of permanent GPS stations will be utilized in a data-driven approach to estimate glacial isostatic adjustment (GIA) without introducing any assumptions about the Earth structure or ice loading history. A Bayesian Hierarchical Model (BHM) will be used as the framework to combine the satellite and in-situ observations alongside prior information that incorporates the physics of the coupled system such as conservation of mass and characteristic length scales of different processes in both space and time. The BHM is used to implement a simultaneous solution at a global scale. It will produce a consistent partitioning of the integrated SLR signal into its steric (thermal) and barystatic (mass) component for the satellite era. The latter component is induced by hydrological mass trends and melting of land ice. The BHM was developed and tested on Antarctica, where it has been used to separate surface, ice dynamic and GIA signals simultaneously. We illustrate the approach and concepts with examples from this test case

  17. The interaction between land use change, sediment fluxes and carbon dynamics: evaluating an integrated soil-landscape model at the millennial time-scale.

    Science.gov (United States)

    Bouchoms, Samuel; Van Oost, Kristof; Vanacker, Veerle

    2015-04-01

    Soil-landscape modelling has received growing attention as it allows us to evaluate the interaction between earth surface and soil bio-physical processes. At the landscape scale, human-induced land use change has altered the balance between soil erosion and production, and largely modified sediment fluxes. Intensification in soil redistribution rates affects the interaction between soil chemical, physical and biological processes at the landscape scale. Here, we evaluate the SPEROS-LT model, a spatially explicit 3D model combining a dynamic representation of land use, soil erosion and deposition and the soil carbon cycle. We assess the impact of millennial-scale human-induced land use change on sediment fluxes and carbon dynamics in the Dijle catchement (central Belgium). The watershed has undergone a 3000 years continuous human-induced alteration of the vegetation covers for agricultural characterized by Our study is based on land use reconstructions for the last 3000 years, including massive deforestation for agriculture in Roman Times and the Middle Ages followed by urbanization in the last 150 years. Land use reconstructions rely on simple land use allocation rules based on slope gradients. SPEROS-LT is parametrized for erosion rates against available figures in the literature by changing the transport capacity and the transfer coefficient which defines the amount of flux transferred between different land uses. Carbon content profiles at steady state (i.e. without influence of erosion or deposition) are calibrated for each land use and for the first upper meter of soil by comparing modeled profiles to an averaged observed profiles in stable areas of the pedologic region. We present a model sensitivity analysis and a full validation of the predicted soil carbon storage (horizontally, i.e. in space, and vertically, i.e. with depth) using a large database of observational data. The results indicate (i) a good agreement of the erosion rates. Speros LT modeled

  18. Implementing a Mobile Health System to Integrate the Treatment of Addiction Into Primary Care: A Hybrid Implementation-Effectiveness Study.

    Science.gov (United States)

    Quanbeck, Andrew; Gustafson, David H; Marsch, Lisa A; Chih, Ming-Yuan; Kornfield, Rachel; McTavish, Fiona; Johnson, Roberta; Brown, Randall T; Mares, Marie-Louise; Shah, Dhavan V

    2018-01-30

    Despite the near ubiquity of mobile phones, little research has been conducted on the implementation of mobile health (mHealth) apps to treat patients in primary care. Although primary care clinicians routinely treat chronic conditions such as asthma and diabetes, they rarely treat addiction, a common chronic condition. Instead, addiction is most often treated in the US health care system, if it is treated at all, in a separate behavioral health system. mHealth could help integrate addiction treatment in primary care. The objective of this paper was to report the effects of implementing an mHealth system for addiction in primary care on both patients and clinicians. In this implementation research trial, an evidence-based mHealth system named Seva was introduced sequentially over 36 months to a maximum of 100 patients with substance use disorders (SUDs) in each of three federally qualified health centers (FQHCs; primary care clinics that serve patients regardless of their ability to pay). This paper reports on patient and clinician outcomes organized according to the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. The outcomes according to the RE-AIM framework are as follows: Reach-Seva reached 8.31% (268/3226) of appropriate patients. Reach was limited by our ability to pay for phones and data plans for a maximum of 100 patients per clinic. Effectiveness-Patients who were given Seva had significant improvements in their risky drinking days (44% reduction, (0.7-1.25)/1.25, P=.04), illicit drug-use days (34% reduction, (2.14-3.22)/3.22, P=.01), quality of life, human immunodeficiency virus screening rates, and number of hospitalizations. Through Seva, patients also provided peer support to one another in ways that are novel in primary care settings. Adoption-Patients sustained high levels of Seva use-between 53% and 60% of the patients at the 3 sites accessed Seva during the last week of the 12-month implementation period. Among

  19. Assessment of Urbanization on the Integrated Land-Ocean-Atmosphere Environment in Coastal Metropolis in Preparation for HyspIRI

    Science.gov (United States)

    Sequera, Pedro; McDonald, Kyle C.; Gonzalez, Jorge; Arend, Mark; Krakauer, Nir; Bornstein, Robert; Luvll, Jeffrey

    2012-01-01

    The need for comprehensive studies of the relationships between past and projected changes of regional climate and human activity in comple x urban environments has been well established. The HyspIRI preparato ry airborne activities in California, associated science and applicat ions research, and eventually HyspIRI itself provide an unprecedented opportunity for development and implementation of an integrated data and modeling analysis system focused on coastal urban environments. We will utilize HyspIRI preparatory data collections in developing ne w remote sensing-based tools for investigating the integrated urban e nvironment, emphasizing weather, climate, and energy demands in compl ex coastal cities.

  20. The North American Bats and Mines Project: a cooperative approach for integrating wildlife, ecosystem management, and mine land reclamation

    Energy Technology Data Exchange (ETDEWEB)

    Taylor, D.A.R. [Bat Conservation International, Austin, TX (United States)

    1995-06-01

    Abandoned underground mines in North America provide a habitat for bats. Closure of mines without conducting biological surveys can endanger bat species that are abundant. The North American Bats and Mines Project (NABMP) has been created by the U.S. Bureau of Land Management and Bat Conservation International to provide coordination among government and conservation organizations and the mining industry in order to minimize the loss of bats living in mines. NABMP provides coordination through education on the importance of mines for bat populations by providing training on mine assessment and closure methods, by assisting with protection and improvement of abandoned mine roosts, and by developing methods for creating new bat habitat. 1 tab.

  1. The degree of integration of non-dispensing pharmacists in primary care practice and the impact on health outcomes: A systematic review.

    Science.gov (United States)

    Hazen, Ankie C M; de Bont, Antoinette A; Boelman, Lia; Zwart, Dorien L M; de Gier, Johan J; de Wit, Niek J; Bouvy, Marcel L

    2018-03-01

    A non-dispensing pharmacist conducts clinical pharmacy services aimed at optimizing patients individual pharmacotherapy. Embedding a non-dispensing pharmacist in primary care practice enables collaboration, probably enhancing patient care. The degree of integration of non-dispensing pharmacists into multidisciplinary health care teams varies strongly between settings. The degree of integration may be a determinant for its success. This study investigates how the degree of integration of a non-dispensing pharmacist impacts medication related health outcomes in primary care. In this literature review we searched two electronic databases and the reference list of published literature reviews for studies about clinical pharmacy services performed by non-dispensing pharmacists physically co-located in primary care practice. We assessed the degree of integration via key dimensions of integration based on the conceptual framework of Walshe and Smith. We included English language studies of any design that had a control group or baseline comparison published from 1966 to June 2016. Descriptive statistics were used to correlate the degree of integration to health outcomes. The analysis was stratified for disease-specific and patient-centered clinical pharmacy services. Eighty-nine health outcomes in 60 comparative studies contributed to the analysis. The accumulated evidence from these studies shows no impact of the degree of integration of non-dispensing pharmacists on health outcomes. For disease specific clinical pharmacy services the percentage of improved health outcomes for none, partial and fully integrated NDPs is respectively 75%, 63% and 59%. For patient-centered clinical pharmacy services the percentage of improved health outcomes for none, partial and fully integrated NDPs is respectively 55%, 57% and 70%. Full integration adds value to patient-centered clinical pharmacy services, but not to disease-specific clinical pharmacy services. To obtain maximum benefits

  2. Integrating Long-Term Avian Studies with Planning and Adaptive Management: Department of Energy Lands as a Case Study.

    Energy Technology Data Exchange (ETDEWEB)

    Burger, J.

    2000-10-01

    Long-term bio-monitoring of avian communities have been initiated, but they often lack a management component. Integration of the managers needs at an early stage is suggested as a means to increase the use of the data. Variation in community structure is important in understanding impacts. In addition, reference site must be carefully selected.

  3. Air Land Sea Bulletin

    Science.gov (United States)

    2014-11-01

    Unidentified Royal Air Force Regiment forward air controllers from the Air Land Integration Cell , Based at Royal Air Force Honington, Suffolk (United...heavy as an actual weapon.4 Ideally, this practice imbued a soldier with more energy and stamina during real combat, given the feel of the genuine but...through tactical forces, to individual training. Unidentified Royal Air Force Regiment forward air controllers from the Air Land Integration Cell , Based

  4. An Enhanced Error Model for EKF-Based Tightly-Coupled Integration of GPS and Land Vehicle’s Motion Sensors

    Science.gov (United States)

    Karamat, Tashfeen B.; Atia, Mohamed M.; Noureldin, Aboelmagd

    2015-01-01

    Reduced inertial sensor systems (RISS) have been introduced by many researchers as a low-cost, low-complexity sensor assembly that can be integrated with GPS to provide a robust integrated navigation system for land vehicles. In earlier works, the developed error models were simplified based on the assumption that the vehicle is mostly moving on a flat horizontal plane. Another limitation is the simplified estimation of the horizontal tilt angles, which is based on simple averaging of the accelerometers’ measurements without modelling their errors or tilt angle errors. In this paper, a new error model is developed for RISS that accounts for the effect of tilt angle errors and the accelerometer’s errors. Additionally, it also includes important terms in the system dynamic error model, which were ignored during the linearization process in earlier works. An augmented extended Kalman filter (EKF) is designed to incorporate tilt angle errors and transversal accelerometer errors. The new error model and the augmented EKF design are developed in a tightly-coupled RISS/GPS integrated navigation system. The proposed system was tested on real trajectories’ data under degraded GPS environments, and the results were compared to earlier works on RISS/GPS systems. The findings demonstrated that the proposed enhanced system introduced significant improvements in navigational performance. PMID:26402680

  5. Xingu Project - Integrating Land Use Planning and Water Governance in Amazonia: Towards Improved Freshwater Security in the Agricultural Frontier of Mato Grosso.

    Science.gov (United States)

    Krusche, A. V.; Ballester, M. V.; Neill, C.; Elsenbeer, H.; Johnson, M. S.; Coe, M. T.; Garavello, M.; Molina, S. G.; Empinotti, V.; Reichardt, F.; Deegan, L.; Harris, L.

    2014-12-01

    The main goal of this project is to identify how impacts from land conversion, cropland expansion and intensification of both crop and animal production interact to affect regional evapotranspiration, rainfall generation, river flooding, and water quality and stream habitats, allowing us to identify thresholds of change that will endanger agricultural production, livelihoods of non-agricultural settlers and the region's new urban population and infrastructure. We will survey the effects of this on (1) soybean farmers, (2) cattle ranchers, (3) small-scale farm families, (4) rural non-agriculturists, including fishers, and (5) urban residents and map their roles as stakeholders. We will also conduct current water use surveys among the different stakeholder groups, accompanied by questions on desired aspects for future freshwater security to identify targets for desirable outcomes of water governance strategies. These targets, together with the information on land use drivers, water quantity and quality and predicted scenarios for global changes will be incorporated into a fully integrated and interactive geospatially oriented socio-ecological model that can serve as framework for future water governance that enhances Freshwater Security in such systems. This is an international cooperation initiative lead by Brazil and with the participation of Canada, Germany and United States of America.

  6. The work of local healthcare innovation: a qualitative study of GP-led integrated diabetes care in primary health care.

    Science.gov (United States)

    Foster, Michele; Burridge, Letitia; Donald, Maria; Zhang, Jianzhen; Jackson, Claire

    2016-01-14

    Service delivery innovation is at the heart of efforts to combat the growing burden of chronic disease and escalating healthcare expenditure. Small-scale, locally-led service delivery innovation is a valuable source of learning about the complexities of change and the actions of local change agents. This exploratory qualitative study captures the perspectives of clinicians and managers involved in a general practitioner-led integrated diabetes care innovation. Data on these change agents' perspectives on the local innovation and how it works in the local context were collected through focus groups and semi-structured interviews at two primary health care sites. Transcribed data were analysed thematically. Normalization Process Theory provided a framework to explore perspectives on the individual and collective work involved in putting the innovation into practice in local service delivery contexts. Twelve primary health care clinicians, hospital-based medical specialists and practice managers participated in the study, which represented the majority involved in the innovation at the two sites. The thematic analysis highlighted three main themes of local innovation work: 1) trusting and embedding new professional relationships; 2) synchronizing services and resources; and 3) reconciling realities of innovation work. As a whole, the findings show that while locally-led service delivery innovation is designed to respond to local problems, convincing others to trust change and managing the boundary tensions is core to local work, particularly when it challenges taken-for-granted practices and relationships. Despite this, the findings also show that local innovators can and do act in both discretionary and creative ways to progress the innovation. The use of Normalization Process Theory uncovered some critical professional, organizational and structural factors early in the progression of the innovation. The key to local service delivery innovation lies in building

  7. Integrated model of primary and secondary eye care for underserved rural areas: The L V Prasad Eye Institute experience

    Directory of Open Access Journals (Sweden)

    Gullapalli N Rao

    2012-01-01

    Full Text Available Blindness is a major global public health problem and recent estimates from World Health Organization (WHO showed that in India there were 62 million visually impaired, of whom 8 million are blind. The Andhra Pradesh Eye Disease Study (APEDS provided a comprehensive estimate for prevalence and causes of blindness for the state of Andhra Pradesh (AP. It also highlighted that uptake of services was also an issue, predominantly among lower socio-economic groups, women, and rural populations. On the basis of this analysis, L V Prasad Eye Institute (LVPEI developed a pyramidal model of eye care delivery. This article describes the LVPEI eye care delivery model. The article discusses infrastructure development, human resource development, and service delivery (including prevention and promotion in the context of primary and secondary care service delivery in rural areas. The article also alludes to opportunities for research at these levels of service delivery and the amenability of the evidence generated at these levels of the LVPEI eye health pyramid for advocacy and policy planning. In addition, management issues related to the sustainability of service delivery in rural areas are discussed. The article highlights the key factors required for the success of the LVPEI rural service delivery model and discusses challenges that need to be overcome to replicate the model. The article concludes by noting the potential to convert these challenges into opportunities by integrating certain aspects of the existing healthcare system into the model. Examples include screening of diabetes and diabetic retinopathy in order to promote higher community participation. The results of such integration can serve as evidence for advocacy and policy.

  8. Evaluating The Land Use And Land Cover Dynamics In Borena ...

    African Journals Online (AJOL)

    The integration of satellite remote sensing and GIS was an effective approach for analyzing the direction, rate, and spatial pattern of land use change. Three land use and land cover maps were produced by analyzing remotely sensed images of Landsat satellite imageries at three time points (1972,1985,and 2003) .

  9. Integration

    DEFF Research Database (Denmark)

    Emerek, Ruth

    2004-01-01

    Bidraget diskuterer de forskellige intergrationsopfattelse i Danmark - og hvad der kan forstås ved vellykket integration......Bidraget diskuterer de forskellige intergrationsopfattelse i Danmark - og hvad der kan forstås ved vellykket integration...

  10. Integrating Chlorophyll fapar and Nadir Photochemical Reflectance Index from EO-1/Hyperion to Predict Cornfield Daily Gross Primary Production

    Science.gov (United States)

    Zhang, Qingyuan; Middleton, Elizabeth M.; Cheng, Yen-Ben; Huemmrich, K. Fred; Cook, Bruce D.; Corp, Lawrence A.; Kustas, William P.; Russ, Andrew L.; Prueger, John H.; Yao, Tian

    2016-01-01

    The concept of light use efficiency (Epsilon) and the concept of fraction of photosynthetically active ration (PAR) absorbed for vegetation photosynthesis (PSN), i.e., fAPAR (sub PSN), have been widely utilized to estimate vegetation gross primary productivity (GPP). It has been demonstrated that the photochemical reflectance index (PRI) is empirically related to e. An experimental US Department of Agriculture (USDA) cornfield in Maryland was selected as our study field. We explored the potential of integrating fAPAR(sub chl) (defined as the fraction of PAR absorbed by chlorophyll) and nadir PRI (PRI(sub nadir)) to predict cornfield daily GPP. We acquired nadir or near-nadir EO-1/Hyperion satellite images that covered the cornfield and took nadir in-situ field spectral measurements. Those data were used to derive the PRI(sub nadir) and fAPAR (sub chl). The fAPAR (sub chl) is retrieved with the advanced radiative transfer model PROSAIL2 and the Metropolis approach, a type of Markov Chain Monte Carlo (MCMC) estimation procedure. We define chlorophyll light use efficiency Epsilon (sub chl) as the ratio of vegetation GPP as measured by eddy covariance techniques to PAR absorbed by chlorophyll (Epsilon(sub chl) = GPP/APAR (sub chl). Daily Epsilon (sub chl) retrieved with the EO-1 Hyperion images was regressed with a linear equation of PRI (sub nadir) Epsilon (sub chl) = Alpha × PRI (sub nadir) + Beta). The satellite Epsilon(sub chl- PRI (sub nadir) linear relationship for the cornfield was implemented to develop an integrated daily GPP model [GPP = (Alpha × PRI(sub nadir) + Beta) × fAPAR (sub chl) × PAR], which was evaluated with fAPAR (sub chl) and PRI (sub nadir) retrieved from field measurements. Daily GPP estimated with this fAPAR (sub chl-) PRI (nadir) integration model was strongly correlated with the observed tower in-situ daily GPP (R(sup 2) = 0.93); with a root mean square error (RMSE) of 1.71 g C mol-(sup -1) PPFD and coefficient of variation (CV) of 16

  11. Prevalence, predictors, and perceived effectiveness of complementary, alternative and integrative medicine in adult-onset primary dystonia.

    Science.gov (United States)

    Fleming, Brandy M; Schwab, Emiko L; Nouer, Simonne S; Wan, Jim Y; LeDoux, Mark S

    2012-09-01

    Complementary and Alternative Medicine (CAM) use is on the rise in both the US and Europe, despite questions about its safety and effectiveness, and lack of national standards. We aimed to determine the prevalence and predictors of CAM and integrative medicine use (CAM-I) and perceived effectiveness compared to the standard treatment of botulinum toxin injections in patients with adult-onset primary dystonia. This was a retrospective questionnaire study of 389 dystonia patients examining the effects age, gender, education level and number of affected anatomical regions on botulinum toxin and CAM-I use and their perceived effectiveness. 53% (208) of patients reported CAM-I use, while 90% (349) used the standard treatment (botulinum toxin), and 48% used both. Education was the only significant predictor of CAM-I use - individuals with bachelor's degrees were more likely to try CAM-I whereas those with high school diplomas were less likely. The mean effectiveness rate for botulinum toxin injections (59%) significantly exceeded that for CAM-I (28%, p effectiveness and expense of CAM-I treatments for dystonia and other neurological disorders given that CAM-I use is steadily increasing, there is great variability in what is classified as CAM-I, and the effectiveness of some modalities may be significantly less than conventional medical treatments. Copyright © 2012 Elsevier Ltd. All rights reserved.

  12. Evaluation of an integrated sponge--granular activated carbon fluidized bed bioreactor for treating primary treated sewage effluent.

    Science.gov (United States)

    Xing, W; Ngo, H H; Guo, W S; Listowski, A; Cullum, P

    2011-05-01

    An integrated fluidized bed bioreactor (iFBBR) was designed to incorporate an aerobic sponge FBBR (ASB-FBBR) into an anoxic granular activated carbon FBBR (GAC-FBBR). This iFBBR was operated with and without adding a new starch based flocculant (NSBF) to treat synthetic primary treated sewage effluent (PTSE). The NSBF contains starch based cationic flocculants and trace nutrients. The results indicate that the iFBBR with NSBF addition could remove more than 93% dissolved organic carbon (DOC), 61% total nitrogen (T-N) and 60% total phosphorus (T-P) at just a very short hydraulic retention time of 50 min. The optimum frequency of adding NSBF to the iFFBR is four times per day. As a pretreatment to microfiltration, the iFFBR could increase 5L/m(2)h of critical flux thus reducing the membrane fouling. In addition, better microbial activity was also observed with high DO consumption (>66%) and specific oxygen uptake rate (>35 mg O(2)/g VSS h). Copyright © 2010 Elsevier Ltd. All rights reserved.

  13. An Observation Tool for Comprehensive Pedagogy in Content and Language Integrated Learning (CLIL: Examples from Primary Education

    Directory of Open Access Journals (Sweden)

    Taina M Wewer

    2017-08-01

    Full Text Available This article on principles and practices in Content and Language Integrated Learning (CLIL is also applicable for general foreign and second language instruction. Since there is no ‘one size fits all’ CLIL pedagogy, the origin of the article lies in the need of educators to obtain and exchange ideas of and tools for actual classroom practices (Pérez Cañado, 2017, and ensure that all key features of CLIL are present in instruction. Although there are a few handbooks available for launching CLIL and adopting CLIL pedagogy (e.g., Coyle, Hood, & Marsh, 2010; Mehisto, Marsh, & Frigols, 2008, these provide principles and general examples of content-based instruction at higher levels of education rather than more detailed advice on how to operate in the beginning phases with young language learners, hence the focus on primary education. The Observation Tool for Effective CLIL Teaching created by de Graaff, Koopman, Anikina, and Gerrit (2007 was chosen as the starting point and was complemented with three additional fields that were not markedly included in the original model: cultural aspects, affects, and assessment.

  14. [A pilot project of the integration of oro-dental care into the primary health care system in Cameroon].

    Science.gov (United States)

    Ngapeth-Etoundi, M; Ekoto, E

    2001-06-01

    The objective of this work is to analyse the situation of the Oral Health Care (OHC) of the population of operational district health unit in Primary Health Care (PHC) and finally integrate the component of OHC. Indeed in many countries in Africa, the World Health Organisation (WHO), in accord with the countries, have set up the policy of PHC. The agreement is that the component of OHC was neglected for quite sometimes in Cameroon. It's for this reason that a pilot project was initiated as a model so that it would be extended to all districts in this country. The method consist in investigation into the prevalence by means of questionnaire and clinical examination of the population of varied age; 900 persons were examined in the Sangmelina health district in order to master the situation of OHC. Oral dental hygiene: 70.5% of the population had a tooth brush, 79% declared they brush their teeth, The state of periodontal tissue: 75% had debris, 70% calculus, 60.7% gingivitis, The prevalence of caries: 66.9% (91.9% had between 21 and 32 teeth), 44.8% follon teeth, 50.8% of this population needed artificial teeth. The situation of the OHC in the health district of Sangmelina requires an effective prevention, consequently the importance of including this situation in PHC program of the said district.

  15. Building Land Information Policies

    DEFF Research Database (Denmark)

    Enemark, Stig

    2004-01-01

    The paper presents a conceptual understanding in the areas of Cadastre, Land Administration, and Land Management as a basis for building adequate land information policies. To develop this understanding the paper looks at each area as a system or an infrastructure designed for handling specific...... of measurement science, spatial information, management, and land management. (2) To establish national professional associations which accommodate a modern interdisciplinary profile. (3) To assess the capacity needs in land administration and to develop the capacity needed at societal, institutional...... and personal level.    (4) To establish appropriate institutional and organisational infrastructures to manage the integration of topographic mapping and cadastral information into a coherent land administration system for sustainable development. The paper aims to establish the basic understanding for dealing...

  16. Land Surface Temperature Retrieval from MODIS Data by Integrating Regression Models and the Genetic Algorithm in an Arid Region

    Directory of Open Access Journals (Sweden)

    Ji Zhou

    2014-06-01

    Full Text Available The land surface temperature (LST is one of the most important parameters of surface-atmosphere interactions. Methods for retrieving LSTs from satellite remote sensing data are beneficial for modeling hydrological, ecological, agricultural and meteorological processes on Earth’s surface. Many split-window (SW algorithms, which can be applied to satellite sensors with two adjacent thermal channels located in the atmospheric window between 10 μm and 12 μm, require auxiliary atmospheric parameters (e.g., water vapor content. In this research, the Heihe River basin, which is one of the most arid regions in China, is selected as the study area. The Moderate-resolution Imaging Spectroradiometer (MODIS is selected as a test case. The Global Data Assimilation System (GDAS atmospheric profiles of the study area are used to generate the training dataset through radiative transfer simulation. Significant correlations between the atmospheric upwelling radiance in MODIS channel 31 and the other three atmospheric parameters, including the transmittance in channel 31 and the transmittance and upwelling radiance in channel 32, are trained based on the simulation dataset and formulated with three regression models. Next, the genetic algorithm is used to estimate the LST. Validations of the RM-GA method are based on the simulation dataset generated from in situ measured radiosonde profiles and GDAS atmospheric profiles, the in situ measured LSTs, and a pair of daytime and nighttime MOD11A1 products in the study area. The results demonstrate that RM-GA has a good ability to estimate the LSTs directly from the MODIS data without any auxiliary atmospheric parameters. Although this research is for local application in the Heihe River basin, the findings and proposed method can easily be extended to other satellite sensors and regions with arid climates and high elevations.

  17. Land cover change or land use intensification: simulating land system change with a global-scale land change model

    NARCIS (Netherlands)

    van Asselen, S.; Verburg, P.H.

    2013-01-01

    Land-use change is both a cause and consequence of many biophysical and socioeconomic changes. The CLUMondo model provides an innovative approach for global land-use change modeling to support integrated assessments. Demands for goods and services are, in the model, supplied by a variety of land

  18. Intertextuality in Read-Alouds of Integrated Science-Literacy Units in Urban Primary Classrooms: Opportunities for the Development of Thought and Language

    Science.gov (United States)

    Varelas, Maria; Pappas, Christine C.

    2006-01-01

    The nature and evolution of intertextuality was studied in 2 urban primary-grade classrooms, focusing on read-alouds of an integrated science-literacy unit. The study provides evidence that both debunks deficit theories for urban children by highlighting funds of knowledge that these children bring to the classroom and the sense they make of them…

  19. Integrating Various Apps on BYOD (Bring Your Own Device) into Seamless Inquiry-Based Learning to Enhance Primary Students' Science Learning

    Science.gov (United States)

    Song, Yanjie; Wen, Yun

    2018-01-01

    Despite that BYOD (Bring Your Own Device) technology model has been increasingly adopted in education, few studies have been reported on how to integrate various apps on BYOD into inquiry-based pedagogical practices in primary schools. This article reports a case study, examining what apps on BYOD can help students enhance their science learning,…

  20. LIGHT RAIL TRANSIT AND LAND USE IN QATAR: AN INTEGRATED PLANNING STRATEGY FOR AL-QASSAR’S TOD

    Directory of Open Access Journals (Sweden)

    Raffaello Furlan

    2016-11-01

    Full Text Available The State of Qatar is presently facing the development of major transport infrastructure, to be finalized (A by 2022 for the planned FIFA World Cup and (B by 2030, as envisioned by the comprehensive national development planning strategy, also named Qatar National Vision (QNV-2030. The under-development metro system foresees the construction of four main lines. In addition, Doha, the capital city of the State of Qatar, is experiencing the progress of (1 prestigious mega projects and (2 several transit villages around the major metro stations. These projects are the manifestation of the deliberate attempt of Qatar to establish Doha as the service, economic and cultural hub of Middle East. Currently, traffic is considered a major concern: ‘Park-and-Ride’ facilities along train stations may reduce the general amount of vehicles on the road network and provide a ‘stress-free’ passenger experience when transitioning to and from the new Doha Metro System. Therefore, one of major challenges for urban planners is guaranteeing that all metro-stations and facilities (A are fully integrated within the urban context of their surroundings and (B provide multi modal transportation facilities. This urban planning strategy aims at reducing traffic through the design of compacted, mixed used transit villages, or Transit Oriented Developments (TODs. This paper explores the case of the neighborhood of Al-Qassar metro station. The exploration starts with the review of the relevant literature and the analysis of the site. Finally, the resultant planning-strategy for an integrated conceptual development of AL-Qassar-TOD envisions the development of a compact transit village, which contributes to reduce the traffic, to enhance pedestrian connectivity and to shape a liveable community.

  1. [Integrity].

    Science.gov (United States)

    Gómez Rodríguez, Rafael Ángel

    2014-01-01

    To say that someone possesses integrity is to claim that that person is almost predictable about responses to specific situations, that he or she can prudentially judge and to act correctly. There is a closed interrelationship between integrity and autonomy, and the autonomy rests on the deeper moral claim of all humans to integrity of the person. Integrity has two senses of significance for medical ethic: one sense refers to the integrity of the person in the bodily, psychosocial and intellectual elements; and in the second sense, the integrity is the virtue. Another facet of integrity of the person is la integrity of values we cherish and espouse. The physician must be a person of integrity if the integrity of the patient is to be safeguarded. The autonomy has reduced the violations in the past, but the character and virtues of the physician are the ultimate safeguard of autonomy of patient. A field very important in medicine is the scientific research. It is the character of the investigator that determines the moral quality of research. The problem arises when legitimate self-interests are replaced by selfish, particularly when human subjects are involved. The final safeguard of moral quality of research is the character and conscience of the investigator. Teaching must be relevant in the scientific field, but the most effective way to teach virtue ethics is through the example of the a respected scientist.

  2. Addressing challenges in scaling up TB and HIV treatment integration in rural primary healthcare clinics in South Africa (SUTHI): a cluster randomized controlled trial protocol.

    Science.gov (United States)

    Naidoo, Kogieleum; Gengiah, Santhanalakshmi; Yende-Zuma, Nonhlanhla; Padayatchi, Nesri; Barker, Pierre; Nunn, Andrew; Subrayen, Priashni; Abdool Karim, Salim S

    2017-11-13

    A large and compelling clinical evidence base has shown that integrated TB and HIV services leads to reduction in human immunodeficiency virus (HIV)- and tuberculosis (TB)-associated mortality and morbidity. Despite official policies and guidelines recommending TB and HIV care integration, its poor implementation has resulted in TB and HIV remaining the commonest causes of death in several countries in sub-Saharan Africa, including South Africa. This study aims to reduce mortality due to TB-HIV co-infection through a quality improvement strategy for scaling up of TB and HIV treatment integration in rural primary healthcare clinics in South Africa. The study is designed as an open-label cluster randomized controlled trial. Sixteen clinic supervisors who oversee 40 primary health care (PHC) clinics in two rural districts of KwaZulu-Natal, South Africa will be randomized to either the control group (provision of standard government guidance for TB-HIV integration) or the intervention group (provision of standard government guidance with active enhancement of TB-HIV care integration through a quality improvement approach). The primary outcome is all-cause mortality among TB-HIV patients. Secondary outcomes include time to antiretroviral therapy (ART) initiation among TB-HIV co-infected patients, as well as TB and HIV treatment outcomes at 12 months. In addition, factors that may affect the intervention, such as conditions in the clinic and staff availability, will be closely monitored and documented. This study has the potential to address the gap between the establishment of TB-HIV care integration policies and guidelines and their implementation in the provision of integrated care in PHC clinics. If successful, an evidence-based intervention comprising change ideas, tools, and approaches for quality improvement could inform the future rapid scale up, implementation, and sustainability of improved TB-HIV integration across sub-Sahara Africa and other resource

  3. Integration of nitrogen dynamics into the Noah-MP land surface model v1.1 for climate and environmental predictions

    International Nuclear Information System (INIS)

    Cai, X.; Zhang, X.

    2016-01-01

    Climate and terrestrial biosphere models consider nitrogen an important factor in limiting plant carbon uptake, while operational environmental models view nitrogen as the leading pollutant causing eutrophication in water bodies. The community Noah land surface model with multi-parameterization options (Noah-MP) is unique in that it is the next-generation land surface model for the Weather Research and Forecasting meteorological model and for the operational weather/climate models in the National Centers for Environmental Prediction. Here in this study, we add a capability to Noah-MP to simulate nitrogen dynamics by coupling the Fixation and Uptake of Nitrogen (FUN) plant model and the Soil and Water Assessment Tool (SWAT) soil nitrogen dynamics. This model development incorporates FUN's state-of-the-art concept of carbon cost theory and SWAT's strength in representing the impacts of agricultural management on the nitrogen cycle. Parameterizations for direct root and mycorrhizal-associated nitrogen uptake, leaf retranslocation, and symbiotic biological nitrogen fixation are employed from FUN, while parameterizations for nitrogen mineralization, nitrification, immobilization, volatilization, atmospheric deposition, and leaching are based on SWAT. The coupled model is then evaluated at the Kellogg Biological Station – a Long Term Ecological Research site within the US Corn Belt. Results show that the model performs well in capturing the major nitrogen state/flux variables (e.g., soil nitrate and nitrate leaching). Furthermore, the addition of nitrogen dynamics improves the modeling of net primary productivity and evapotranspiration. The model improvement is expected to advance the capability of Noah-MP to simultaneously predict weather and water quality in fully coupled Earth system models.

  4. Integration of public health and primary care: A systematic review of the current literature in primary care physician mediated childhood obesity interventions.

    Science.gov (United States)

    Bhuyan, Soumitra S; Chandak, Aastha; Smith, Patti; Carlton, Erik L; Duncan, Kenric; Gentry, Daniel

    2015-01-01

    Childhood obesity, with its growing prevalence, detrimental effects on population health and economic burden, is an important public health issue in the United States and worldwide. There is need for expansion of the role of primary care physicians in obesity interventions. The primary aim of this review is to explore primary care physician (PCP) mediated interventions targeting childhood obesity and assess the roles played by physicians in the interventions. A systematic review of the literature published between January 2007 and October 2014 was conducted using a combination of keywords like "childhood obesity", "paediatric obesity", "childhood overweight", "paediatric overweight", "primary care physician", "primary care settings", "healthcare teams", and "community resources" from MEDLINE and CINAHL during November 2014. Author name(s), publication year, sample size, patient's age, study and follow-up duration, intervention components, role of PCP, members of the healthcare team, and outcomes were extracted for this review. Nine studies were included in the review. PCP-mediated interventions were composed of behavioural, education and technological interventions or a combination of these. Most interventions led to positive changes in Body Mass Index (BMI), healthier lifestyles and increased satisfaction among parents. PCPs participated in screening and diagnosing, making referrals for intervention, providing nutrition counselling, and promoting physical activity. PCPs, Dietitians and nurses were often part of the healthcare team. PCP-mediated interventions have the potential to effectively curb childhood obesity. However, there is a further need for training of PCPs, and explain new types of interventions such as the use of technology. Copyright © 2015 Asia Oceania Association for the Study of Obesity. Published by Elsevier Ltd. All rights reserved.

  5. Attitudes of Arab and Jewish patients toward integration of complementary medicine in primary care clinics in Israel: a c