The Phil-LiDAR 2 program aims to extract the natural resources of the Philippines from the available two points per square meter LiDAR data. Mangroves, being coastal resources, were one of the foci of this program under the Aquatic Resources Extraction from LiDAR Surveys (CoastMap). The object-based image analysis (OBIA) approach, and support vector machine (SVM) algorithm were utilized to classify three major classes from the LiDAR data, namely: mangrove, other vegetation, and non-vegetation. Object feature values used in the classification include the mean, standard deviation, mode, and texture values from the generated LiDAR derivatives. These derivatives include the Digital Surface Model (DSM), Digital Terrain Model (DTM), Canopy Height Model (CHM), Intensity, Number of Returns, Normalized DSM (NDSM), Slope, and Slope of Slope. Moreover, field data collection and validation provided key references in the supervised SVM classification and contextual editing of the extracted mangrove areas. From the implemented classification, an overall accuracy of above 90% was achieved. Focusing with the final classified mangrove coverage, management of the mangrove resources can be made proper and efficient. Furthermore, high resolution or detailed spatial information can support programs like Reducing Emissions from Deforestation and forest Degradation Plus (REDD+) and biodiversity studies.
Background:
There is increasing evidence that lidocaine is toxic to adipocytes and their precursors, which can contribute to the variability in fat graft resorption. Erector spinae plane (ESP) block is a new technique to provide analgesia of the trunk and would avoid lidocaine at the fat graft donor site. The aim of this study was to compare the efficacy of ESP block versus tumescent local anesthesia (TLA).
Methods:
A retrospective review was performed for all patients who underwent autologous fat grafting from the abdomen at the University of New Mexico Hospital between February 2016 and March 2019. These patients received either ESP block or TLA during abdominal fat harvest. The primary endpoints were intraoperative, postoperative, and total morphine equivalents.
Results:
There was no difference in the mean intraoperative, postoperative, and total morphine equivalents administered between the ESP and TLA groups.
Conclusions:
ESP block is equivalent to TLA for analgesia when using an abdominal donor site for fat harvest. ESP block should be considered in fat-grafting cases to avoid the potential toxicity of lidocaine to the viability of adipocytes and preadipocytes.
Excess weight gain is common when adolescents become young adults, but there are no obesity prevention or weight management interventions that have been tested for emerging adults who follow non-traditional post-secondary paths, such as enrolling in job training programs. We evaluated Healthy Eating & Active Lifestyles (HEALs), a policy-mandated lifestyle education/environmental modification program, at a job training center for low-income 16-24 year olds. We examined average change in body mass index (BMI) z-score from baseline to 6 months for emerging adults (aged 16-24 years) in pre-HEALs implementation (n = 125) and post-HEALs implementation (n = 126) cohorts living at the job training center, by baseline weight status. In both cohorts, average BMI z-score significantly increased from baseline to 6 months for students with BMI < 25. Average BMI z-score significantly decreased for the overweight (BMI 25 to <30; -0.11, p = .03) and obese (BMI ≥ 30; -0.11, p = .001) students only within the post-HEALs cohort; changes within the pre-HEALs cohort and between cohorts were not significant. HEALs may promote positive weight-related trends for overweight/obese students, but prevention efforts for non-overweight/obese students need to be improved.
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