Multi-spatiotemporal analysis of changes in mangrove forests in Palawan, Philippines: predicting future trends using a support vector machine algorithm and the Markov chain model.

Multi-temporal remote sensing imagery can be used to explore how mangrove assemblages are changing over time and facilitate critical interventions for ecological sustainability and effective management. This study aims to explore the spatial dynamics of mangrove extents in Palawan, Philippines, specifically in Puerto Princesa City, Taytay and Aborlan, and facilitate future predictions for Palawan using the Markov Chain model. The multi-date Landsat imageries during the period 1988-2020 were used for this research. The support vector machine algorithm was sufficiently effective for mangrove feature extraction to generate satisfactory accuracy results (>70% kappa coefficient values; 91% average overall accuracies). In Palawan, a 5.2% (2693 ha) decrease was recorded during 1988-1998 and an 8.6% increase in 2013-2020 to 4371 ha. In Puerto Princesa City, a 95.9% (2758 ha) increase was observed during 1988-1998 and 2.0% (136 ha) decrease during 2013-2020. The mangroves in Taytay and Aborlan both gained an additional 2138 ha (55.3%) and 228 ha (16.8%) during 1988-1998 but also decreased from 2013 to 2020 by 3.4% (247 ha) and 0.2% (3 ha), respectively. However, projected results suggest that the mangrove areas in Palawan will likely increase in 2030 (to 64,946 ha) and 2050 (to 66,972 ha). This study demonstrated the capability of the Markov chain model in the context of ecological sustainability involving policy intervention. However, as this research did not capture the environmental factors that may have influenced the changes in mangrove patterns, it is suggested adding cellular automata in future Markovian mangrove modelling.

Climate change awareness and risk perceptions in the coastal marine ecosystem of Palawan, Philippines.

Understanding coastal communities' awareness and risk perceptions of climate change impact is essential in developing effective risk communication tools and mitigation strategies to reduce the vulnerability of these communities. In this study, we examined coastal communities' climate change awareness and risk perceptions of climate change impact on the coastal marine ecosystem, sea level rise impact on the mangrove ecosystem and as a factor affecting coral reefs and seagrass beds. The data were gathered by conducting face-to-face surveys with 291 respondents from the coastal areas of Taytay, Aborlan and Puerto Princesa in Palawan, Philippines. Results showed that most participants (82%) perceived that climate change is happening and a large majority (75%) perceived it as a risk to the coastal marine ecosystem. Local temperature rise and excessive rainfall were found to be significant predictors of climate change awareness. Sea level rise was perceived by most participants (60%) to cause coastal erosion and to affect the mangrove ecosystem. On coral reefs and seagrass ecosystems, anthropogenic drivers and climate change were perceived to have a high impact, while marine livelihoods had a low impact. In addition, we found that climate change risk perceptions were influenced by direct experiences of extreme weather events (i.e., temperature rise and excessive rainfall) and climate-related livelihood damages (i.e., declining income). Climate change risk perceptions were also found to vary with household income, education, age group and geographical location. The results suggest that addressing poverty and effectively communicating climate change risks can improve climate change awareness and risk perceptions.

Occurrence of COVID-19 personal protective equipment (PPE) litters along the eastern coast of Palawan Island, Philippines.

The emergence of the COVID-19 pandemic has caused worldwide health constraints. This study was conducted to establish a baseline monitoring survey to describe the distribution of PPE litters during the COVID-19 pandemic in the province of Palawan, Philippines. A total of 386 COVID-19-related PPE items were present in 83 % of coastal sampling sites with over a cumulative area of 48,200 m2, with a density of 8 × 10-3 items m-2. The facemask (98 %; n = 377) was the primary type of PPE, followed by face shield (2 %; n = 9). Meanwhile, the daily density of PPE litters in San Manuel, Puerto Princesa ranged from 0 to 9.9 × 10-2 items m-2, with a mean density of 8 × 10-3 items m-2. The accumulation rates of PPE items ranged from 3.27 × 10-1 items to 1.143 items d-1, with an average rate of 7.29 × 10-1 items d-1.

Ask the Locals: A Community-Informed Analysis of Perceived Marine Environment Quality Over Time in Palawan, Philippines.

Despite the potentially huge contributions that coastal communities might make in marine resource management and sustainability, their participation in such efforts have only been recognized recently, particularly in Southeast Asia. Involving community perceptions can offer new insights for policy makers and resource managers and can elicit strong commitment and support from the communities themselves. This article aims to understand the perceptions of coastal communities of local environmental issues, specifically how these have developed over time, to understand the expectations and perceptions of trends. Sixteen marine environmental issues were identified during stakeholder meetings in Palawan, Philippines. A co-developed survey was administered to 431 respondents from coastal communities in two municipalities (Taytay and Aborlan) and in the city of Puerto Princesa in Palawan. The results show variation in the perceptions and expectations across issues. We find that communities expect positive trends for mangrove coverage, beach tree cover, and seagrass coverage as well as for seaweed farming and quality of drinking water. The amount of plastic litter, wild fish and shellfish, and the severity of sewage pollution are perceived to get slightly worse. The aquaculture sector is expected to remain unchanged in the future as it had been in the past. We also find significant differences in how people from different areas of residence perceive their marine environment. In the discussion, we mapped these different community perceptions on existing policies and their implementation. We further recommend how community perceptions can be integrated into resource management and policy making in the future.

Plastic litter pollution along sandy beaches in Puerto Princesa, Palawan Island, Philippines.

Marine plastic litter pollution has become an emerging threat to the Philippines, especially in Palawan. This study was conducted to investigate the macroplastic litter and determine the clean-coast index (CCI) of the residential and non-residential sites on the coasts of Puerto Princesa, Palawan. Plastic litters were sampled from 21 coastal barangays by delineating a 50-m-long transect line with three 4 m × 4 m quadrats. The litter sampled were counted and sorted into categories. The results showed that 17 sites were contaminated with plastic litters. In terms of residential and non-residential sites, the east coast has thrice as much plastic, 2.61 items/m2 and 1.26 items/m2 compared to west coast with only 1.57 items/m2 and 0.14 items/m2, respectively. The plastics sampled were predominantly fishing line (nylon), food packaging, and fragments. The calculated CCI revealed that 76% of the sites sampled were categorized as dirty and extremely dirty.

Health status, healthcare utilisation, and quality of life among the coastal communities in Sabah: Protocol of a population-based survey.

INTRODUCTION: Coastal areas in Malaysia can have important impacts on the livelihoods and health of local communities. Efforts by Malaysian government to develop and improve the landscape and ecosystem have been planned; however, the progress has been relatively slow because some of the coastal areas are remote and relatively inaccessible. Thus, these coastal communities face various challenges in health, healthcare and quality of life. This paper presents a study protocol to examine the health status, healthcare utilisation, and quality of life among the coastal communities. In addition, the relationship between the community and their coastal environment is examined. METHODOLOGY AND ANALYSIS: The population of interest is the coastal communities residing within the Tun Mustapha Park in Sabah, Malaysia. The data collection is planned for a duration of 6 months and the findings are expected by December 2020. A random cluster sampling will be conducted at three districts of Sabah. This study will collect 600 adult respondents (300 households are estimated to be collected) at age of 18 and above. The project is a cross sectional study via face-to-face interview with administered questionnaires, anthropometrics measurements and observation of the living condition performed by trained interviewers.

T2 mapping and T2* imaging in heart failure.

Cardiovascular magnetic resonance (CMR) is a versatile imaging modality that enables aetiological assessment and provides additional information to that of standard echocardiography in a significant proportion of patients with heart failure. In addition to highly accurate and reproducible assessment of ventricular volumes and replacement fibrosis, multiparametric mapping techniques have rapidly evolved to further expand the diagnostic and prognostic applications in various conditions ranging from acute inflammatory and ischaemic cardiomyopathy, to cardiac involvement in systemic diseases such as sarcoidosis and iron overload cardiomyopathy. In this review, we discuss the established role of T2* imaging and rapidly evolving clinical applications of myocardial T2 mapping as quantitative adjuncts to established qualitative imaging techniques.

Inflammatory cell burden and phenotype in endomyocardial biopsies with antibody-mediated rejection (AMR): a multicenter pilot study from the AECVP.

This multicenter case-controlled pilot study evaluated myocardial inflammatory burden (IB) and phenotype in endomyocardial biopsies (EMBs) with and without pathologic antibody-mediated rejection (pAMR). Sixty-five EMBs from five European heart transplant centers were centrally reviewed as positive (grade 2, n = 28), suspicious (grade 1, n = 7) or negative (n = 30) for pAMR. Absolute counts of total, intravascular (IV) and extravascular (EV) immunophenotyped mononuclear cells were correlated with pAMR grade, capillary C4d deposition, donor specific antibody (DSA) status and acute cellular rejection (ACR). In pAMR+ biopsies, equivalent number of IV CD3+ T lymphocytes (23 ± 4/0.225 mm(2) ) and CD68+ macrophages (21 ± 4/0.225 mm(2) ) were seen. IB and cell phenotype correlated with pAMR grade, C4d positivity and DSA positivity (p < 0.0001). High numbers of IV T lymphocytes were associated with low grade ACR (p = 0.002). In late-occurring AMR EV plasma cells occurring in 34% of pAMR+ EMBs were associated with higher IB. The IB in AMR correlated with pAMR+, C4d positivity and DSA positivity. In pAMR+ equivalent numbers of IV T lymphocytes and macrophages were found. The presence of plasma cells was associated with a higher IB and occurrence of pAMR late after transplantation.

Problem severity, technology adoption, and intent to seek online counseling among overseas Filipino workers.

This study examined the factors that influence the intent to seek online counseling among overseas Filipino workers (OFWs). A survey among 365 OFWs revealed that problem severity and technology adoption predict intent to use online counseling. Among the three factors of technology adoption, perceived ease in the use of technology and perceived presence of organization and technological infrastructure to support use predicted intent to use online counseling. Our hypothesis about the presence of interaction between problem severity and facilitating conditions was supported. Among individuals with low problem severity, those who perceive the presence of organization and technological infrastructure to support use have a higher intent to use online counseling. However, at higher levels of problem severity, the effect of facilitating conditions seems to disappear. These findings highlight the crucial role of preventive online mental health services. The study contributes to theory by integrating the stage model of help-seeking behaviors and technology adoption theory in predicting intent to use online counseling. Specifically, that intent to seek online counseling is affected by the existence and perceived gravity of a problem, moderated by technology adoption factors, particularly facilitating conditions. These have implications on the need to educate potential users on the advantages of counseling and ensure that migrant workers have access to technology and that the technology is easy to use.

A case of necrotising fasciitis caused by Pseudomonas aeruginosa.

Necrotising fasciitis is a rare but severe infection of soft-tissue associated with rapid progression, systemic toxicity and high mortality. Monomicrobial necrotising fasciitis caused by Pseudomonas aeruginosa is exceptionally uncommon with only 12 cases reported in the literature. We describe a fatal case with an atypical presentation in a patient following spinal decompression for a metastasis from prostate cancer.

[Aphasia caused by left paramedian thalamic infarction. Anatomo-clinical case]. / Aphasie par infarctus thalamique paramédian gauche. Observation anatomo-clinique.

A 67 year-old right-handed man presented with an aphasia of acute onset associated to paralysis of vertical eye movements, mild cerebellar right dysmetria and right hemiparesis without hemianopia. CT scan showed two low density areas in the left thalamus and left occipital lobe. Neuropsychological examination revealed a non fluent aphasia with normal repetition, semantic paraphasias, perseverations and good comprehension of verbal and written commands. There was no alexia. Writing was impaired only by motor disturbances. Three weeks after the onset, tetraparesis and impairment of consciousness followed by a locked in syndrome supervened. Death occurred four months after onset. Neuropathological examination showed a left paramedian thalamic infarct involving the ventrolateral, dorso-medial and intralaminar nuclei, sparing the pulvinar. There was an occipital infarct sparing the calcarine scissura and multiple infarctions in the pons and the cerebellum. Broca's and Wernicke's areas were spared. We suggest that the involvement of medial nuclei could be partly responsible of language disturbances in thalamic aphasia.