10 research outputs found

    Integration of palliative care into standard oncology care: American society of clinical oncology clinical practice guideline update

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    Purpose To provide evidence-based recommendations to oncology clinicians, patients, family and friend caregivers, and palliative care specialists to update the 2012 American Society of Clinical Oncology (ASCO) provisional clinical opinion (PCO) on the integration of palliative care into standard oncology care for all patients diagnosed with cancer. Methods ASCO convened an Expert Panel of members of the ASCO Ad Hoc Palliative Care Expert Panel to develop an update. The 2012 PCO was based on a review of a randomized controlled trial (RCT) by the National Cancer Institute Physicians Data Query and additional trials. The panel conducted an updated systematic review seeking randomized clinical trials, systematic reviews, and metaanalyses, as well as secondary analyses of RCTs in the 2012 PCO, published from March 2010 to January 2016. Results The guideline update reflects changes in evidence since the previous guideline. Nine RCTs, one quasiexperimental trial, and five secondary analyses from RCTs in the 2012 PCO on providing palliative care services to patients with cancer and/or their caregivers, including family caregivers, were found to inform the update. Recommendations Inpatients and outpatients with advanced cancer should receive dedicated palliative care services, early in the disease course, concurrent with active treatment. Referral of patients to interdisciplinary palliative care teams is optimal, and services may complement existing programs. Providers may refer family and friend caregivers of patients with early or advanced cancer to palliative care services

    Integrating forest structural diversity measurement into ecological research

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    The measurement of forest structure has evolved steadily due to advances in technology, methodology, and theory. Such advances have greatly increased our capacity to describe key forest structural elements and resulted in a range of measurement approaches from traditional analog tools such as measurement tapes to highly derived and computationally intensive methods such as advanced remote sensing tools (e.g., lidar, radar). This assortment of measurement approaches results in structural metrics unique to each method, with the caveat that metrics may be biased or constrained by the measurement approach taken. While forest structural diversity (FSD) metrics foster novel research opportunities, understanding how they are measured or derived, limitations of the measurement approach taken, as well as their biological interpretation is crucial for proper application. We review the measurement of forest structure and structural diversity—an umbrella term that includes quantification of the distribution of functional and biotic components of forests. We consider how and where these approaches can be used, the role of technology in measuring structure, how measurement impacts extend beyond research, and current limitations and potential opportunities for future research

    Terrestrial LiDAR-derived non-destructive woody biomass estimates for 10 hardwood species in Virginia

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    This article contains data related to the research article entitled “Assessing terrestrial laser scanning for developing non-destructive biomass allometry” (Stovall et al., 2018 [1]) and presents 258 terrestrial LiDAR-derived estimates of tree volume and biomass. The terrestrial LiDAR acquisitions were completed in the Center for Tropical Forest Science - Forest Global Earth Observatory (CTFS-ForestGEO) plot in Front Royal, Virginia, USA. The data includes tree diameter at breast height (DBH), total tree height, tree length (correcting for tree lean), average wood density, estimated wood volume, and dry weight or biomass for all trees. These data were used to develop aboveground biomass models [1] and the reader is referred to this study for additional information, interpretation, and reflection on applying this data

    Browns Ferry waste heat greenhouse environmental control system design

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    Oak Ridge National Laboratory, Tennessee Valley Authority and the Environmental Research Laboratory at the University of Arizona cooperated on the design of an experimental greenhouse located at TVA's Browns Ferry Nuclear Generating Station. Two greenhouse zones are heated by waste heat from the plant's condenser effluent. For comparison, a third greenhouse zone is heated conventionally (fossil-fueled burners) as a control. Design specifics for each of the three zones and a qualitative operating evaluation are presented

    Thyroid Nodule

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