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23 pages, 2003 KB  
Article
Gaps and Challenges in Forest and Landscape Restoration: An Examination of Three Mid-Atlantic Appalachian States in the United States
by Estelle Manuela Nganlo Keguep, Oluwaseun Adebayo Bamodu and Denis Jean Sonwa
Forests 2026, 17(3), 334; https://doi.org/10.3390/f17030334 - 7 Mar 2026
Viewed by 389
Abstract
Forest and landscape restoration (FLR) represents a critical nexus of climate change mitigation, biodiversity conservation, and sustainable development. Despite substantial federal investments and commitments, empirical subnational research quantifying the relationships between governance structures, funding mechanisms, and restoration outcomes remains scarce, and integrated implementation [...] Read more.
Forest and landscape restoration (FLR) represents a critical nexus of climate change mitigation, biodiversity conservation, and sustainable development. Despite substantial federal investments and commitments, empirical subnational research quantifying the relationships between governance structures, funding mechanisms, and restoration outcomes remains scarce, and integrated implementation frameworks bridging institutional, technical, and socio-economic dimensions are largely absent from the literature. This study presents a mixed-methods analysis of FLR implementation gaps across Maryland, Virginia, and West Virginia. Three Mid-Atlantic Appalachian states selected for their contrasting ecological conditions, governance structures, and restoration trajectories that collectively represent the heterogeneity of subnational restoration challenges. We examined 147 restoration projects (2019–2024), conducted 25 stakeholder interviews, and analyzed federal funding allocations ($428 million) through spatial and temporal frameworks. Our findings reveal five critical implementation barriers: (1) policy incoherence across federal–state–local jurisdictions creating 34% project delays; (2) chronic underfunding with 63% of projects receiving less than 60% of planned budgets; (3) technical capacity deficits affecting 71% of rural communities; (4) inadequate stakeholder engagement mechanisms reducing project sustainability by 45%; and (5) insufficient monitoring frameworks limiting adaptive management. We introduce an Integrated Restoration Implementation Framework (IRIF) that uniquely integrates policy coordination, sustainable financing, technical capacity building, and community engagement within a unified adaptive management cycle, operationalized through empirically derived thresholds, to guide evidence-based interventions. Quantitative analyses demonstrate that multi-stakeholder governance models increase restoration success rates by 2.3-fold (p < 0.001), while integrated funding mechanisms improve long-term sustainability by 67%. Theoretically, this study advances socio-ecological systems scholarship by providing empirical evidence that multi-scalar governance configurations and integrated stakeholder engagement mechanisms are principal determinants of restoration success, advancing the evidence base for adaptive governance approaches in complex federal systems. Our findings provide actionable intelligence for policymakers and practitioners, while underscoring that sustainable FLR in complex federal systems depends on coherent multi-level governance architectures coordinating institutional mandates, financial resources, technical capacity, and community agency across jurisdictional scales. Full article
(This article belongs to the Special Issue Forest Economics and Policy Analysis)
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35 pages, 24720 KB  
Article
Remote Sensing Applications for Assessment of White-Tailed Deer Overabundance in Forested Ecosystems
by Peter G. Vailakis, Thomas J. Pingel, Dylan Horvath, Adam J. Mathews and Mark Blumler
Remote Sens. 2026, 18(5), 690; https://doi.org/10.3390/rs18050690 - 26 Feb 2026
Viewed by 584
Abstract
White-tailed Deer (Odocoileus virginianus) overabundance has emerged as a significant ecological concern in recent decades. With current populations exceeding 30 million, White-tailed Deer (WTD) are now one of the most spatially abundant ungulate species across both natural and human-altered environments. High [...] Read more.
White-tailed Deer (Odocoileus virginianus) overabundance has emerged as a significant ecological concern in recent decades. With current populations exceeding 30 million, White-tailed Deer (WTD) are now one of the most spatially abundant ungulate species across both natural and human-altered environments. High densities have led to considerable ecological and economic impacts, including forest understory degradation, biodiversity loss, and increased deer-vehicle collisions. This study examines the spatiotemporal distribution of WTD within three sites at Binghamton University, a heavily wooded campus in the Appalachian Upland region of New York State. To monitor population densities and movement patterns, a combination of remote sensing techniques was employed, including six Assark PH960W trail cameras and a DJI Mavic 3T UAV equipped with an uncooled VOx microbolometer thermal infrared (IR) sensor. Data were collected between 31 October 2024 and 10 March 2025, in relation to three deer culling events on 18 December 2024, 2 January 2025, and 9 January 2025. While Unoccupied Aerial Vehicle (UAV) based thermal imaging proved effective for estimating population dynamics, its utility is constrained by environmental and logistical limitations. In contrast, WiFi-enabled trail cameras provide a cost-efficient approach for capturing high-temporal resolution data at localized sites. Density estimates were derived from UAV thermal imaging and Random Encounter and Staying Time (REST) model calculations, ranging from 13.2 to 26.8 deer/km2 across the region. Findings underscore the need for ongoing deer management strategies on campus to support long-term forest ecosystem health. Full article
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2 pages, 141 KB  
Correction
Correction: Tuzzio et al. Widespread Microplastic Pollution in Central Appalachian Streams: Implications for Freshwater Ecosystem Sustainability. Sustainability 2025, 17, 2926
by Isabella M. Tuzzio, Brent A. Murry and Caroline C. Arantes
Sustainability 2026, 18(3), 1672; https://doi.org/10.3390/su18031672 - 6 Feb 2026
Viewed by 237
Abstract
The authors would like to make the following corrections to the published paper [...] Full article
17 pages, 582 KB  
Article
Site-Specific and Economic Optimization of Populus Plantations for Veneer Production in Appalachian Landscapes
by Solomon Beyene, Sam Blumenfeld and Elizabeth Guthrie Nichols
Geographies 2026, 6(1), 5; https://doi.org/10.3390/geographies6010005 - 1 Jan 2026
Viewed by 407
Abstract
Western North Carolina (WNC), part of the Appalachian landscape, hosts a robust forest product industry but faces increasing challenges like land marginalization, warming temperatures and raw material shortages. This study evaluates the site suitability and cost-effectiveness of cultivating Populus species for high-value veneer–plywood [...] Read more.
Western North Carolina (WNC), part of the Appalachian landscape, hosts a robust forest product industry but faces increasing challenges like land marginalization, warming temperatures and raw material shortages. This study evaluates the site suitability and cost-effectiveness of cultivating Populus species for high-value veneer–plywood (VP) production in WNC using the Veneer-Poplar Productivity and Economic Assessment Model (VP-PEAM). The model integrates site-specific variables (elevation, soil characteristics, landform and land-use history) to optimize site-species management strategies across diverse landscapes. Twelve scenarios are analyzed to assess how biophysical and land-use factors influence VP growth and profitability. The results show that VP productivity and profitability decline with increasing elevation, past land-use intensity, soil compaction and decreasing soil depth. All land-use types studied support profitable VP production. Yet, flood plain sites with medium-textured soils and moderate water table depths (0.61–1.83 m) offer optimal conditions. Even under suboptimal conditions, extended rotations maintain profitability, except on sites with persistent waterlogging or shallow water tables (<0.31 m). VPs generate higher annual equivalent opportunity benefits (USD 1568–USD 2763 ha−1 yr−1 in 15- to 18-year rotations) compared to non-forest land uses, suggesting their potential to enhance regional wood supply and land-use efficiency. These findings contribute to site-informed forest management and offer a modeling approach for assessing forest resilience and cost-effectiveness in Appalachian landscapes. Full article
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15 pages, 8694 KB  
Article
Imprint of the Reguibat Promontory (West Africa) on the Appalachian, Mauritanide and Souttoufide Belts During the Assembly of Pangaea
by Michel Villeneuve, Omar Guillou, Andreas Gärtner, Abdelkrim El Archi, Abdelmohsine Aghzer, Hervé Bellon, Paul A. Mueller, Papa Moussa Ndiaye, Nasrrddine Youbi, Ulf Linnemann and Michel Corsini
Geosciences 2026, 16(1), 14; https://doi.org/10.3390/geosciences16010014 - 24 Dec 2025
Viewed by 673
Abstract
During the course of the Carboniferous to Permian, large parts of eastern Laurentia and northern Gondwana were affected by the Variscan Orogeny accompanying the assembly of Pangea. Here, we concentrate on the Appalachian belt of eastern Laurentia and the Mauritanide of western Gondwana. [...] Read more.
During the course of the Carboniferous to Permian, large parts of eastern Laurentia and northern Gondwana were affected by the Variscan Orogeny accompanying the assembly of Pangea. Here, we concentrate on the Appalachian belt of eastern Laurentia and the Mauritanide of western Gondwana. Owing to the irregular shapes of the craton margins, the collision between Laurentia and the West African Craton provides several conjugate promontories and embayments alongside both cratons. Among others, the coupled pair formed by the African Reguibat promontory and its counterpart in North America, the Pennsylvania embayment, is the principal subject of this study. The western movement of the Reguibat Shield had initially imprinted the West African belts but finally also affected the Appalachians. Acting as a “hallmark”, it produced two specific lobes (stacks of nappes) on both sides of the promontory. The southern NW-SW lobe (Akjoujt nappes) is long known. However, the northern lobe of the “Adrar Souttouf Massif” has not been identified previously, owing to being partially covered and also to its N-S alignment instead of an expected symmetrical SW-NE direction. Furthermore, the Adrar Souttouf Massif is partially covered by allochthonous terranes (Western Thrust Belt, TB, or Appalachians). This new discovery supports a classical impingement model for the deformation of the North American and African belts by westward displacement of the Reguibat Shield. Full article
(This article belongs to the Section Structural Geology and Tectonics)
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22 pages, 5865 KB  
Article
Contrasting La Crosse Virus Lineage III Vector Competency in Two Geographical Populations of Aedes triseriatus and Aedes albopictus Mosquitoes
by Lindsey R. Faw, Philip M. Armstrong, Sally L. Paulson and Gillian Eastwood
Biology 2025, 14(12), 1771; https://doi.org/10.3390/biology14121771 - 11 Dec 2025
Viewed by 695
Abstract
La Crosse virus (LACV) is a mosquito-borne virus (family Peribunyaviridae) that can result in severe human infection in children under sixteen. Historically, LACV comprised two lineages, predominantly in the Midwest and Appalachian regions of the US. In 2005, a virus of a [...] Read more.
La Crosse virus (LACV) is a mosquito-borne virus (family Peribunyaviridae) that can result in severe human infection in children under sixteen. Historically, LACV comprised two lineages, predominantly in the Midwest and Appalachian regions of the US. In 2005, a virus of a third lineage was detected in the Northeast; however, this and subsequently isolated strains of lineage III have not, to date, been implicated in human disease. One hypothesis for this discrepancy is that vector mosquitoes have a reduced vector competency for LACV lineage III, thus preventing horizontal transmission and clinical cases. Here, we utilized two mosquito species, Aedes triseriatus, the native vector, and Aedes albopictus, an invasive potential vector, each from both a historic LACV range (Virginia) and from the region of lineage III (Connecticut). Utilizing oral feeding and intrathoracic inoculation methods of viral exposure, rates of LACV infection, dissemination, and transmission (proxied via salivary secretion) and capability for vertical transmission (proxied via virus-positive ovaries) were determined by harvesting mosquito bodies, legs, saliva, and ovaries, respectively. Overall, we did not detect consistent differences in transmission between any lineage, species, or state of origin, at day 14 post-infection. However, we highlight the transmission potential of LACV lineage III in all mosquito populations tested here, representing the first evidence of lineage III competency in Aedes triseriatus and Aedes albopictus, indicating the potential for human disease. We thus suggest that the absence of human cases of LACV lineage III is not modulated by a lack of vector competency in mosquitoes. Full article
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14 pages, 5136 KB  
Article
Testing Machine Learning and Traditional Models for Tree-Ring-Based scPDSI Streamflow Reconstruction: A 1500-Year Record of the French Broad River, Tennessee, USA
by Ray Lombardi, Abel Andrés Ramírez Molina and Glenn Tootle
Water 2025, 17(22), 3288; https://doi.org/10.3390/w17223288 - 18 Nov 2025
Cited by 1 | Viewed by 749
Abstract
The French Broad River in eastern Tennessee is a critical water resource for the Tennessee Valley Authority’s hydropower and drought relief, yet its instrumental record spans less than a century. To evaluate new dendrochronological tools and examine long-term streamflow trends, we extended the [...] Read more.
The French Broad River in eastern Tennessee is a critical water resource for the Tennessee Valley Authority’s hydropower and drought relief, yet its instrumental record spans less than a century. To evaluate new dendrochronological tools and examine long-term streamflow trends, we extended the stream record by 1500 years using linear regression and machine learning reconstruction models informed by the tree-ring-derived self-calibrating Palmer Drought Severity Index (scPDSI). Linear regression models provided skillful reconstruction and stable performance across calibration and validation periods. Random Forest and Deep Learning achieved higher skill but lost some of their skill advantage with validation periods, indicating overfitting. All models captured drought years more reliably than flood years, reflecting the sensitivity of scPDSI to soil moisture but its limitations for high-flow extremes in the Appalachian region. Trend analyses identified a significant change point in 1271 CE, separating a drought-dominated early period (500–1272 CE) from a wetter, less variable regime (1273–1970 CE). An emerging trend shows higher average flow interrupted by severe single-year droughts, consistent with regional evidence and projected changes to hydrologic regimes in Appalachia. These findings provide a millennial perspective on hydrologic extremes and guidance on using paleohydrology tools for water resource planning in a changing climate. Full article
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29 pages, 3055 KB  
Article
Modeling the Tradeoff Between Water Loss, Chlorine Residuals, and Trihalomethanes in Rural Appalachia, USA
by George Fordjour, Yogesh Gautam, Lindell Ormsbee, Scott Yost and Jason Unrine
Water 2025, 17(21), 3138; https://doi.org/10.3390/w17213138 - 31 Oct 2025
Viewed by 948
Abstract
Small rural water utilities in the Appalachia region of the US often experience extreme water loss while struggling to maintain water quality compliance. This study quantifies the impact of reducing water loss on distribution system water quality in Martin County, Kentucky. Hydraulic and [...] Read more.
Small rural water utilities in the Appalachia region of the US often experience extreme water loss while struggling to maintain water quality compliance. This study quantifies the impact of reducing water loss on distribution system water quality in Martin County, Kentucky. Hydraulic and water quality models were developed, calibrated, and validated using EPANET for chlorine residuals and KYPIPE for trihalomethane (TTHM) formation. The models evaluated water loss reduction scenarios ranging from the current 70% to the industry target of 15%. Results showed that lowering water loss increased residence times, causing chlorine residual declines of 22–68%, with one site falling to the 0.2 mg/L threshold. TTHM concentrations increased by 12–18% in winter–spring and 26–44% in summer–fall, with two sites exceeding the individual 0.080 mg/L maximum contaminant level. These novel findings indicate that reducing water loss can unintentionally degrade water quality, underscoring the need for integrated planning. Recommended mitigation strategies include seasonal operational adjustments, water source and TTHM precursor management, optimized tank management, targeted flushing, and phased infrastructure upgrades. The modeling framework developed offers potential for broader application in other rural systems facing similar challenges. Full article
(This article belongs to the Special Issue Design and Management of Water Distribution Systems)
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24 pages, 1602 KB  
Review
A Review and Survey of Local Eastern Kentucky Medicinal Plants and Their Pharmacological Benefits
by Pratyusha Veldhi, Chris Crager, Ayesha Ghayur, Zaheer Ul-Haq and Muhammad Nabeel Ghayur
Plants 2025, 14(20), 3182; https://doi.org/10.3390/plants14203182 - 16 Oct 2025
Viewed by 1712
Abstract
Medicinal plants are used all over the world to prevent, cure, and manage many different diseases. The aim of this study was to provide knowledge on different medicinal plants that are native to Pike County, Eastern Kentucky, USA. The study involved two stages [...] Read more.
Medicinal plants are used all over the world to prevent, cure, and manage many different diseases. The aim of this study was to provide knowledge on different medicinal plants that are native to Pike County, Eastern Kentucky, USA. The study involved two stages of activity. First, it involved a survey of some county locals to identify medicinal plants used for different medical purposes. The second part dealt with searching research databases like PubMed and Google Scholar to find out if any of those plants, identified in the survey, have any published scientific studies on them. The results of the survey identified 14 locally used medicinal plants (Asimina triloba, Callicarpa americana, Chimaphila umbellate, Cichorium intybus, Eupatorium perfoliatum, Monotropa uniflora, Paulownia tomentosa, Phytolacca americana, Portulaca oleracea, Sassafras albidum, Ampelopsis glandulosa, Ulmus rubra, Verbascum thapsus, and Xanthorhiza simplicissima) belonging to different families, plant types and used for a wide variety of purposes. Most plants belonged to the Ericaceae and Asteraceae families, were mostly herb type, while the most common plant part was berries, leaves and roots. The survey also showed that the local population use these plants for a variety of purposes, such as a food additive, insect repellant, antirheumatic, antiarthritic, coffee alternative, laxative, antitussive, analgesic, or anti-infective. Sometimes these plants and plant substances are used raw, made into tea, or even made into an edible jam product. For the second part of the study, all the plants were supported by multiple published studies. The most common pharmacological activity among the plants was antimicrobial, followed by anticancer, antioxidant and anti-inflammatory activities. Eastern Kentucky is well known for its scenic Appalachian Mountains, but the area holds potential for innovative herbal medicine as well. More interest and research are needed to further explore the treasure of medicinal plant use knowledge resting in this area. Additionally, more phytopharmacological and phytochemical studies are needed to investigate the scientific potential of traditionally used medicinal herbs from this region. Full article
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15 pages, 1104 KB  
Article
Long-Term Trends in Brook Trout Habitat in Appalachian Headwater Streams
by Zac Zacavish and Kyle Hartman
Fishes 2025, 10(10), 512; https://doi.org/10.3390/fishes10100512 - 10 Oct 2025
Viewed by 1010
Abstract
For lotic salmonids, pool habitats are critical to persistence and resilience. In the central Appalachians, brook trout (Salvelinus fontinalis Mitchill 1814) is an imperiled species that relies on pool habitats for refuge during drought and for spawning. We sought to study trends [...] Read more.
For lotic salmonids, pool habitats are critical to persistence and resilience. In the central Appalachians, brook trout (Salvelinus fontinalis Mitchill 1814) is an imperiled species that relies on pool habitats for refuge during drought and for spawning. We sought to study trends in pool habitats by studying habitat distribution and trends in 25 headwater systems over 18 years. Our analysis documented a significant decreasing trend in critical pool habitat (p = 0.006) and a significant increase in distance between these pools (p = 0.001) since 2003. Natural recruitment of large wood from second-growth riparian areas appears to be slower than losses. However, large wood recruitment from Superstorm Sandy in 2012, at least temporarily stabilized pool numbers. While salmonid populations can be highly resilient, disturbances can create unstable habitat conditions. These conditions could become more probable with projected alteration of flow regime due to climate change. These results highlight the need to further understand the potential impacts acute disturbances like drought, floods, debris flows, and other formidable events could have on temporal habitat availability. Full article
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14 pages, 283 KB  
Article
College Students’ Mental Health During the COVID-19 Pandemic
by Raihan K. Khan, Md Towfiqul Alam, Sojib Bin Zaman and Tony Jehi
Psychiatry Int. 2025, 6(3), 112; https://doi.org/10.3390/psychiatryint6030112 - 10 Sep 2025
Cited by 1 | Viewed by 4404
Abstract
The COVID-19 pandemic significantly impacted multiple aspects of human life, including the psychological and physical health of college students. This study explores how students in Virginia’s Shenandoah Valley, a region within the larger Appalachian area, experienced anxiety, depression, and fear of COVID-19. An [...] Read more.
The COVID-19 pandemic significantly impacted multiple aspects of human life, including the psychological and physical health of college students. This study explores how students in Virginia’s Shenandoah Valley, a region within the larger Appalachian area, experienced anxiety, depression, and fear of COVID-19. An online survey was conducted at a large public university in the US, yielding responses from 680 undergraduate and graduate students. Linear regression was applied to continuous outcomes, specifically the Fear of COVID-19 Scale (FCV-19S) and depression scores. For dichotomous outcomes such as anxiety and depression (when categorized), separate logistic regression models were employed. The majority of respondents were female (78.0%), White (81.9%), and undergraduates (80.4%), with approximately 41.4% majoring in health-related disciplines. Results indicated that female students reported higher levels of anxiety, depression, and fear of infection compared to their male counterparts. Additionally, undergraduate students exhibited greater depressive symptoms than graduate students. Students who perceived less institutional support from their university during the pandemic also reported significantly higher psychological distress. These findings underscore the pressing need for universities and policymakers to collaborate in enhancing mental health resources and communication strategies for students during times of crisis. Full article
19 pages, 1118 KB  
Article
Understanding Family Forest Landowners’ Preferences for Carbon Offset Programs in Central Appalachia
by Kathryn Gazal, Brooke Eastman, Stephen Cheye, Kathleen Arano and Gregory Dahle
Forests 2025, 16(9), 1415; https://doi.org/10.3390/f16091415 - 4 Sep 2025
Cited by 2 | Viewed by 1127
Abstract
The Central Appalachian region, where family forest landowners (FFLs) control much of the carbon sequestration potential, holds the potential for forest-based climate solutions. Despite this, participation in carbon offset programs remains low, largely due to the disconnect between small landowner needs and program [...] Read more.
The Central Appalachian region, where family forest landowners (FFLs) control much of the carbon sequestration potential, holds the potential for forest-based climate solutions. Despite this, participation in carbon offset programs remains low, largely due to the disconnect between small landowner needs and program structure. This study examines FFL preferences for carbon programs in Central Appalachia. Utilizing a panel-data mixed logit model, we evaluated the effects of contract length, payment amount, harvest requirements, and program administration on participation decisions. Our results indicate that higher payments significantly increase program participation. Furthermore, contract lengths of at least 15 years and restrictive harvests negatively influence program participation. Program administration played a significant role, with government-administered programs being less preferred, with odds 48% lower than privately administered programs. Landowner characteristics such as carbon-oriented ownership, education, and income also influence participation. The willingness-to-accept analysis shows high compensation demands for less favorable terms: $107–$397/ha/year for longer contracts and $104–$173/ha/year for harvest restrictions. Additionally, landowners require an extra $66/ha/year for government administration. The findings underscore the importance of designing carbon offset programs that are flexible, offer adequate compensation, and foster trust, while aligning with landowners’ management objectives. Full article
(This article belongs to the Section Forest Economics, Policy, and Social Science)
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18 pages, 3063 KB  
Article
Ecosystem Size and Functional Group Relative Abundance Drive Stream Community Body Size Structure
by Jarrett H. Landreth, Brent A. Murry, Katherine A. Adase, Caroline C. Arantes, Dustin M. Smith, David I. Wellman, James R. Junker, Justin P. F. Pomeranz and Jeff S. Wesner
Fishes 2025, 10(8), 419; https://doi.org/10.3390/fishes10080419 - 20 Aug 2025
Viewed by 1483
Abstract
Temperate streams are among the most well-studied ecosystems globally, yet there remains much uncertainty regarding the processes that regulate food web structure. Here we explore the relative contribution of food web composition and watershed factors on inter-stream variation in size spectra slopes (λ). [...] Read more.
Temperate streams are among the most well-studied ecosystems globally, yet there remains much uncertainty regarding the processes that regulate food web structure. Here we explore the relative contribution of food web composition and watershed factors on inter-stream variation in size spectra slopes (λ). Size spectra describe the decrease in abundance with increasing body size of individuals within a community (N∼M λ). We estimated λ for invertebrate, fish, and combined food webs to test effects of functional groups and watershed variables. The mean λ for combined and invertebrate food webs aligned well with theoretic predictions (mean = −2.04 and −2.02 respectively, range =−2.58 to −1.51). In contrast, the mean fish slope was shallower and more variable among sites (mean = −1.85, range = −2.71 to −1.33). Drainage area, a proxy for ecosystem size, was positively related to λ in all three data groupings. The fish-only λs were also positively related to agricultural land cover and negatively associated with the relative abundance of predators and omnivores. These results demonstrate the potential for drainage area to increase the relative abundance of large consumers and highlight the role of functional group dominance. Such insights are difficult to obtain without a size spectrum approach. Full article
(This article belongs to the Section Biology and Ecology)
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17 pages, 4149 KB  
Article
Disastrous Effects of Hurricane Helene in the Southern Appalachian Mountains Including a Review of Mechanisms Producing Extreme Rainfall
by Jeff Callaghan
Hydrology 2025, 12(8), 201; https://doi.org/10.3390/hydrology12080201 - 31 Jul 2025
Cited by 1 | Viewed by 4859
Abstract
Hurricane Helene made landfall near Perry (Latitude 30.1 N) in the Big Bend area of Florida with a central pressure of 939 hPa. It moved northwards creating devastating damage and loss of life; however, the greatest damage and number of fatalities occurred well [...] Read more.
Hurricane Helene made landfall near Perry (Latitude 30.1 N) in the Big Bend area of Florida with a central pressure of 939 hPa. It moved northwards creating devastating damage and loss of life; however, the greatest damage and number of fatalities occurred well to the north around the City of Asheville (Latitude 35.6 N) where extreme rainfall fell and some of the strongest wind gusts were reported. This paper describes the change in the hurricane’s structure as it tracked northwards, how it gathered tropical moisture from the Atlantic and a turning wind profile between the 850 hPa and 500 hPa elevations, which led to such extreme rainfall. This turning wind profile is shown to be associated with extreme rainfall and loss of life from drowning and landslides around the globe. The area around Asheville suffered 157 fatalities, which is a considerable proportion of the 250 fatalities so far recorded in the whole United States from Helene. This is of extreme concern and should be investigated in detail as the public expects the greatest impact from hurricanes to be confined to coastal areas near the landfall site. It is another example of increased death tolls from tropical cyclones moving inland and generating heavy rainfall. As the global population increases and inland centres become more urbanised, runoff from such rainfall events increases, which causes greater devastation. Full article
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26 pages, 2368 KB  
Article
Exploring Patient-Centered Perspectives on Suicidal Ideation: A Mixed-Methods Investigation in Gastrointestinal Cancer Care
by Avishek Choudhury, Yeganeh Shahsavar, Imtiaz Ahmed, M. Abdullah Al-Mamun and Safa Elkefi
Cancers 2025, 17(15), 2460; https://doi.org/10.3390/cancers17152460 - 25 Jul 2025
Viewed by 1390
Abstract
Background: Gastrointestinal (GI) cancer patients face a four-fold higher suicide risk than the general US population. This study explores psychosocial aspects of GI cancer patient experiences, assessing suicidal ideation and behavior, mental distress during treatment phases, and psychosocial factors on mental health. Methods: [...] Read more.
Background: Gastrointestinal (GI) cancer patients face a four-fold higher suicide risk than the general US population. This study explores psychosocial aspects of GI cancer patient experiences, assessing suicidal ideation and behavior, mental distress during treatment phases, and psychosocial factors on mental health. Methods: A two-phase mixed-methods approach involved a web-based survey and follow-up interviews. Quantitative data analysis validated mental health and suicidal ideation constructs, and correlation analyses were performed. The patient journey was charted from diagnosis to treatment. Results: Two hundred and two individuals participated, with 76 from the rural Appalachian region and 78 undergoing treatments. Quantitative analysis showed a higher prevalence of passive suicidal ideation than active planning. The post-treatment recovery period was the most emotionally challenging. Qualitative data emphasized emotional support and vulnerability to isolation. Care quality concerns included individualized treatment plans and better communication. Patients also needed clear, comprehensive information about treatment and side effects. The in-depth interview with four GI cancer patients revealed a healthcare system prioritizing expedient treatment over comprehensive care, lacking formal psychological support. AI emerged as a promising avenue for enhancing patient understanding and treatment options. Conclusions: Our research advocates for a patient-centric model of care, enhanced by technology and empathetic communication. Full article
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