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

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

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

Characterizing Low-Lying Coastal Upland Forests to Predict Future Landward Marsh Expansion

We conducted TLS scanning between July and September 2022 (during leaf-on conditions). For each plot, we performed single-scan positions using a RIEGL VZ-400i (RIEGL Laser Measurement Systems GmbH, Horn, Austria). The VZ-400i operates in the near infrared wavelength (1550 nanometers) with range distances up to 350 meters. The scanner was mounted on a tripod 1.3 meters above the ground and equipped with a tilt mount in order to obtain one upright and one titled scan (90° from the vertical). To create a single point cloud from the two scans, reflector targets were placed around the scanner prior to scanning. The reflectors remain in the exact same positions for both scans, and are used to compute a transformation matrix in the RIEGL RiSCAN Pro software which facilitates the co-registration and merging of the two-point clouds. Alignment of the scans was also further refined using the multi-station adjustment (MSA) module in RiSCAN Pro (Wilkes et al. 2017, Decuyper et al. 2018). The purpose of using the single scan positions from the TLS was to provide an objective representation of forest stand structure at fixed distances from the forest edge and was more time efficient compared to scanning multiple positions within a plot (Calders et al. 2014, Seidel et al. 2016, Meeussen et al. 2020).Sea level rise (SLR) is causing vegetation regime shifts on both the seaward and landward sides of many coastal ecosystems, with the Eastern coast of North America experiencing accelerated impacts due to land subsidence and the weakening of the Gulf Stream. Tidal wetland ecosystems, known for their significant carbon storage capacity, are crucial but vulnerable blue carbon habitats. Recent observations suggest that SLR rates may exceed the threshold for elevation gain primarily through vertical accretion in many coastal regions. Therefore, research has focused on mapping the upslope migration of marshes into suitable adjacent lands, as this landward gain may be the most salient process for estimating future wetland resiliency to accelerated rates of SLR. However, our understanding of coastal vegetation characteristics and dynamics in response to SLR is limited due to a lack of in-situ data and effective mapping strategies for delineating the boundaries, or ecotones, of these complex coastal ecosystems. In order to effectively study these transitioning ecosystems, it is necessary to employ reliable and scalable landscape metrics that can differentiate between marsh and coastal forests. As such, integrating vegetation structure metrics from Light detection and ranging (Lidar) could enhance traditional mapping strategies compared to using optical data alone. Here, we used terrestrial laser scanning (TLS) to measure changes in forest structure along elevation gradients that may be indicative of degradation associated with increased inundation in the Delaware Bay estuary. We analyzed a set of TLS-derived forest structure metrics to investigate their relationships with elevation, specifically seeking those that showed consistent change from the forest edge to the interior. Our findings revealed a consistent pattern between elevation and the Plant Area Index (PAI), a metric that holds potential for enhancing the delineation of complex coastal ecosystem boundaries, particularly in relation to landward marsh migration. This work provides support for utilizing lidar-derived forest structural metrics to enable a more accurate assessment of future marsh landscapes and the overall coastal carbon sink under accelerated sea-level rise conditions.This study was supported by the Margaret A. Davidson Graduate Fellowship funded by NOAA

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

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

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