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Surface mulching and nitrogen (N) application are widely used to enhance crop yield and water productivity (WP). However, their combined effects remain unclear. Here, a three-year field experiment was conducted to comprehensively assess the effects of surface mulching (no mulching, B; straw mulching, S; and plastic film mulching, F) and N fertilization (no N application, N0; split application of urea, N1; 1:2 mixture of controlled-release urea and urea, N2) on maize growth, yield, and WP on the Loess Plateau. Application of nitrogen (N) significantly increased evapotranspiration (ET), grain yield, and WP by 4.58%, 176% (from 5215.43 kg ha⁻¹ in N0 to 14,548.21 kg ha⁻¹ in N2), and 166% (from 11.36 kg ha⁻¹ mm⁻¹ in N0 to 30.63 kg ha⁻¹ mm⁻¹ in N2), respectively. Compared with B and S, F increased ET during the pre-silking stage by 16.75% and 23.99%, respectively, and shortened the vegetative period of maize by 3–9 days but extended the duration from the milky stage (R3) to physiological maturity (R6) in the reproductive period by 5–13 days. F significantly increased yield and WP by 9.18% and 8.26% compared with S. Under F combined with N application, deep soil water (100–200 cm) consumption during R1–R3 increased by 15.75 mm and 13.15 mm compared with B and S, respectively. The combination of F and N2 achieved the highest yield (15,648.28 kg ha⁻¹) and WP (32.44 kg ha⁻¹ mm⁻¹) without causing detectable depletion of soil water within the 0–200 cm profile during the study period, providing an effective strategy for enhancing crop yield and improving water–fertilizer use efficiency in semi-arid regions. Full article

Background/Objectives: Mechanical cardiopulmonary resuscitation (mCPR) devices offer consistent chest compressions during prolonged resuscitations and transport, but their impact on ventilation and patient outcomes remains unclear. This study aimed to compare gas exchange, metabolic parameters, and clinical outcomes in patients with ongoing manual versus mechanical CPR upon arrival at the emergency department (ED) after out-of-hospital cardiac arrest (OHCA). Methods: We conducted a retrospective analysis of 394 consecutive adult patients with non-traumatic OHCA admitted to a metropolitan cardiac arrest center between January 2019 and December 2024. Patients were categorized into three groups: Return of spontaneous circulation (ROSC) on arrival (n = 240), ongoing manual CPR (n = 107), and ongoing mechanical CPR (n = 47). Gas exchange and metabolic parameters were obtained from initial arterial blood gas (ABG) analysis and monitor readings. The primary outcome was survival to hospital discharge; secondary outcomes included 24 h survival and neurological status at discharge (CPC 1–2). Results: Survival to hospital discharge was significantly higher in the manual CPR group (8.4%) compared to 0% in the mechanical CPR group (p = 0.04). Both groups showed severe acidosis and hypercapnia upon ED arrival; however, PaCO₂ levels were significantly higher in the mCPR group (83.0 ± 25.5 mmHg vs. 72.3 ± 21.6 mmHg, p = 0.01). ROC analysis identified lactate (AUC = 0.765) and pH (AUC = 0.743) as the strongest predictors of survival, while EtCO₂ had limited prognostic value (AUC = 0.541). Conclusions: In patients with refractory out-of-hospital cardiac arrest admitted with ongoing cardiopulmonary resuscitation, mechanical CPR was associated with higher PaCO₂ levels on emergency department arrival compared with manual CPR, while other gas exchange parameters did not differ significantly. Given the limited sample size and small number of survivors, these findings are exploratory and hypothesis-generating, underscoring the need for prospective studies on ventilation during continuous chest compressions. Full article

This report describes the development and deployment of the Public Health Quality Tool (PHQTool), an online resource designed to help mobile health clinics (MHCs) assess and improve the quality of their public health services. MHCs provide essential clinical and public health services to underserved populations but have historically lacked tools to assess and improve the quality of their work. To address this gap, the PHQTool was developed as an online, evidence-based, self-assessment resource for MHCs, hosted on the Mobile Health Map (MHMap) platform. This report documents the collaborative development process of the PHQTool and presents preliminary evaluation findings related to usability and relevance among mobile health clinics. Drawing from national public health frameworks and Honore et al.’s established public health quality aims, the PHQTool focuses on six aims most relevant to mobile care: Equitable, Health Promoting, Proactive, Transparent, Effective, and Efficient. Selection of the six quality aims was guided by explicit criteria developed through pilot testing and stakeholder feedback. The six aims were those that could be directly implemented through mobile clinic practices and were feasible to assess within diverse mobile clinic contexts. The remaining three aims (“population-centered,” “risk-reducing,” and “vigilant”) were determined to be less directly actionable at the program level or required system-wide or data infrastructure beyond the scope of individual mobile clinics. Development included expert consultation, pilot testing, and iterative refinement informed by user feedback. The tool allows clinics to evaluate practices, identify improvement goals, and track progress over time. Since implementation, 82 MHCs representing diverse organizational types have used the PHQTool, reporting high usability and identifying common improvement areas such as outreach, efficiency, and equity-driven service delivery. Across pilot and post-pilot implementation phases, a majority of respondents agreed or strongly agreed that the tool was user-friendly, relevant to their work, and appropriately scoped for mobile clinic practice. Usability and acceptance were assessed using descriptive statistics, including percentage agreement across Likert-scale items as well as qualitative feedback collected during structured debriefs. Reported findings reflect self-reported perceptions of feasibility, clarity, and relevance rather than inferential statistical comparisons. The PHQTool facilitates systematic quality assessment within the mobile clinic sector and supports consistent documentation of public health efforts. By providing a standardized, accessible framework for evaluation, it contributes to broader efforts to strengthen evidence-based quality improvement and promote accountability in MHCs. Full article

The recent review by Veron et al. (2025) posits that quantitative genomic evidence used to understand coral evolution should be secondary to species hypotheses derived from expert opinion based on field experience. The authors argue that morphological “biological entities” should take precedence over molecular evidence when conflicts arise. This perspective required the rejection of extensive, independent molecular datasets that have progressively converged on a robust evolutionary framework for reef corals. Here, we reaffirm how prioritising subjective visual assessments over quantitative genetic and genomic data is methodologically unsound and scientifically regressive. We reject the framing of this perspective as “morphology versus molecules”. Rather, it is a fundamental divergence between two opposing philosophies: a static system anchored in non-reproducible expert judgement, and an integrative framework where genetic data provide the necessary independent test of morphological hypotheses. We show how a reliance on “field entities” obscures true morphological patterns by failing to distinguish between phenotypic plasticity, convergence, and evolutionary divergence. Effective taxonomy requires species hypotheses to be testable, and to stand or fall on the strength of reproducible evidence. Such a framework does not replace morphology; it validates it by providing an explicit, testable basis for evaluating morphological hypotheses. The integration of testable, reproducible molecular analysis with other lines of evidence including morphology is the benchmark of modern taxonomy across all Kingdoms of Life. We address the logical inconsistencies in the general arguments put forward by Veron et al. (2025) and refute their specific rejection of recent Acropora species-level revision with reproducible data. Full article

Background/Objectives:Pyrus ussuriensis Maxim. has been cultivated in many regions worldwide. This plant is also regarded as a profitable fruit crop for the development of many food and functional products. There is limited research on the application of the LC-MS associated reaction method for screening active compounds. In this study, we developed an analytical technique employing an ultra-high-performance liquid chromatography-electrospray ionization-tandem mass spectrometry (UHPLC-ESI-MS/MS) system. Methods: The metabolite annotation procedure was used to interpret and validate data analysis via spectral matching against public databases. Results: As a result, metabolites from P. ussuriensis water and EtOH extracts were identified, and their quantities were further evaluated. The established method was employed to determine antioxidant capacity using a pre-incubation UHPLC-2,2-diphenyl-1-picrylhydrazyl (DPPH) assay, thereby identifying antioxidant ingredients. The antioxidative interference of active constituents was predicted by calculating the decrease in the peak areas of the chemical composition detected in chromatograms between treated and non-treated samples. Furthermore, drug-likeness was also assessed via pharmacokinetics (absorption, distribution, metabolism, and excretion: ADME) evaluation. Conclusions: The online UHPLC-MS-DPPH method would be a powerful tool for the rapid characterization of antioxidant ingredients in plant extracts. The current study highlights the value of P. ussuriensis for improved health benefits. Full article