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19 pages, 618 KiB  
Article
Effect of a Nutritional Education Intervention on Sports Nutrition Knowledge, Dietary Intake, and Body Composition in Female Athletes: A Pilot Study
by Macarena Veloso-Pulgar and Andreu Farran-Codina
Nutrients 2025, 17(15), 2560; https://doi.org/10.3390/nu17152560 - 5 Aug 2025
Abstract
Background/Objectives: Studies have reported that female athletes often exhibit low levels of nutritional knowledge and inadequate dietary intake to meet their nutritional needs. The aim of this study was to evaluate the effect of a nutritional education intervention on nutrition knowledge, dietary intake, [...] Read more.
Background/Objectives: Studies have reported that female athletes often exhibit low levels of nutritional knowledge and inadequate dietary intake to meet their nutritional needs. The aim of this study was to evaluate the effect of a nutritional education intervention on nutrition knowledge, dietary intake, and body composition in female handball players (n = 45; age, 17.6 ± 2.1 years). Methods: A quasi-experimental intervention design was implemented, consisting of a 3-week educational program delivered through six in-person sessions led by a registered dietitian. Nutrition knowledge, dietary intake, adherence to the Mediterranean diet, and anthropometric and body composition measurements were assessed. Results: Nutrition knowledge levels were significantly higher both immediately post-intervention and three months later compared to baseline (p < 0.05, ES > 0.8). A total of 36 participants completed a 3-day dietary record at baseline and at follow-up. Initial assessments revealed insufficient energy (31 kcal/kg/day) and carbohydrate intake (3.0 g/kg/day) and a high intake of total fats (1.4 g/kg/day). During follow-up, a significant decrease in the consumption of foods rich in sugar was observed (p = 0.0272). A total of 82.2% of the players needed to improve their adherence to the Mediterranean diet. No significant changes were found in Mediterranean diet adherence or body composition following the intervention. Conclusions: The nutritional education intervention significantly improved athletes’ nutritional knowledge and significantly decreased their consumption of sugary foods; however, further studies are needed to evaluate its impact on dietary intake and body composition, considering the study’s limitations. Full article
(This article belongs to the Special Issue Food Habits, Nutritional Knowledge, and Nutrition Education)
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28 pages, 10200 KiB  
Article
Real-Time Temperature Estimation of the Machine Drive SiC Modules Consisting of Parallel Chips per Switch for Reliability Modelling and Lifetime Prediction
by Tamer Kamel, Olamide Olagunju and Temitope Johnson
Machines 2025, 13(8), 689; https://doi.org/10.3390/machines13080689 - 5 Aug 2025
Abstract
This paper presents a new methodical procedure to monitor in real time the junction temperature of SiC Power MOSFET modules of parallel-connected chips utilized in machine drive systems to develop their reliability modelling and predict their lifetime. The paper implements the on-line measurements [...] Read more.
This paper presents a new methodical procedure to monitor in real time the junction temperature of SiC Power MOSFET modules of parallel-connected chips utilized in machine drive systems to develop their reliability modelling and predict their lifetime. The paper implements the on-line measurements of temperature-sensitive electrical parameters (TSEP) approach, particularly the quasi-threshold voltage and the on-state drain to source voltage, to estimate the junction temperature in real time. The proposed procedure firstly applied computational fluid dynamics analysis on the module under study to determine the chip which undergoes the maximum junction temperature during typical operation of the module. Then, a calibration phase, using double-pulse tests on the selected chip, is used to generate look-up tables to relate the TSEPs under study to the junction temperature. Next, the real-time estimation of junction temperature was accomplished during the on-line operation of the three-phase inverter, taking into account the induced distortion/noises due to operation of the parallel-connected chips in the module. After that, a comparison between the two TSEPs under study was provided to demonstrate their advantages/drawbacks. Finally, reliability modelling was developed to predict the lifetime of the studied module based on the estimated junction temperature under a predetermined mission profile. Full article
(This article belongs to the Special Issue Power Converters: Topology, Control, Reliability, and Applications)
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25 pages, 4851 KiB  
Article
Mathematical Modeling, Bifurcation Theory, and Chaos in a Dusty Plasma System with Generalized (r,q) Distributions
by Beenish, Maria Samreen and Fehaid Salem Alshammari
Axioms 2025, 14(8), 610; https://doi.org/10.3390/axioms14080610 - 5 Aug 2025
Abstract
This study investigates the dynamics of dust acoustic periodic waves in a three-component, unmagnetized dusty plasma system using generalized (r,q) distributions. First, boundary conditions are applied to reduce the model to a second-order nonlinear ordinary differential equation. [...] Read more.
This study investigates the dynamics of dust acoustic periodic waves in a three-component, unmagnetized dusty plasma system using generalized (r,q) distributions. First, boundary conditions are applied to reduce the model to a second-order nonlinear ordinary differential equation. The Galilean transformation is subsequently applied to reformulate the second-order ordinary differential equation into an unperturbed dynamical system. Next, phase portraits of the system are examined under all possible conditions of the discriminant of the associated cubic polynomial, identifying regions of stability and instability. The Runge–Kutta method is employed to construct the phase portraits of the system. The Hamiltonian function of the unperturbed system is subsequently derived and used to analyze energy levels and verify the phase portraits. Under the influence of an external periodic perturbation, the quasi-periodic and chaotic dynamics of dust ion acoustic waves are explored. Chaos detection tools confirm the presence of quasi-periodic and chaotic patterns using Basin of attraction, Lyapunov exponents, Fractal Dimension, Bifurcation diagram, Poincaré map, Time analysis, Multi-stability analysis, Chaotic attractor, Return map, Power spectrum, and 3D and 2D phase portraits. In addition, the model’s response to different initial conditions was examined through sensitivity analysis. Full article
(This article belongs to the Special Issue Trends in Dynamical Systems and Applied Mathematics)
18 pages, 2763 KiB  
Article
Enhancing Students’ Interest in Physics Concepts with a Low-Cost STEM Tool Focused on Motivation in Rural Areas of Developing Countries
by René Flores-Godínez, Antonio Alarcón-Paredes, Iris Paola Guzmán-Guzmán, Yanik Ixchel Maldonado-Astudillo and Gustavo Adolfo Alonso-Silverio
Educ. Sci. 2025, 15(8), 994; https://doi.org/10.3390/educsci15080994 (registering DOI) - 5 Aug 2025
Abstract
Physics concepts are considered an essential component of STEM (science, technology, engineering, and mathematics) education and fundamental for economic and technological development in the world. However, there can be student academic underperformance, such as the school environment, learning media and infrastructure, student interest [...] Read more.
Physics concepts are considered an essential component of STEM (science, technology, engineering, and mathematics) education and fundamental for economic and technological development in the world. However, there can be student academic underperformance, such as the school environment, learning media and infrastructure, student interest and emotions, as well as social and economic development factors in communities. These problems are even more acute in rural areas of developing countries, where poverty is high and teachers often lack the necessary technological skills. The aim of this study was to evaluate the impact of a low-cost STEM tool focused on motivation in learning, in terms of five variables of interest in physics in rural areas, as well as the durability of the tools used to learn 12 physics concepts. A quasi-experimental study was conducted with the participation of 78 high school students, with an average age of 15.82 years, in a rural area of Guerrero, Mexico. The results showed that using the STEM tool significantly increased students’ interest in learning methodology, active participation, and attitude towards physics, facilitating the teacher’s work. In addition, the 3D construction kit used in the experimentation, besides being low-cost, proved to be affordable and durable, making it ideal for use in rural areas. Full article
(This article belongs to the Special Issue Interdisciplinary Approaches to STEM Education)
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32 pages, 12538 KiB  
Article
Study on Vibration Characteristics and Harmonic Suppression of an Integrated Electric Drive System Considering the Electromechanical Coupling Effect
by Yue Cui, Hong Lu, Jinli Xu, Yongquan Zhang and Lin Zou
Actuators 2025, 14(8), 386; https://doi.org/10.3390/act14080386 - 4 Aug 2025
Abstract
The study of vibration characteristics and suppression methods in integrated electric drive systems of electric vehicles is of critical importance. To investigate these characteristics, both current harmonics within the motor and nonlinear factors within the drivetrain were considered. A 17-degree-of-freedom nonlinear torsional–planar dynamic [...] Read more.
The study of vibration characteristics and suppression methods in integrated electric drive systems of electric vehicles is of critical importance. To investigate these characteristics, both current harmonics within the motor and nonlinear factors within the drivetrain were considered. A 17-degree-of-freedom nonlinear torsional–planar dynamic model was developed, with electromagnetic torque and output speed as coupling terms. The model’s accuracy was experimentally validated, and the system’s dynamic responses were analyzed under different working conditions. To mitigate vibrations caused by torque ripple, a coordinated control strategy was proposed, combining a quasi-proportional multi-resonant (QPMR) controller and a full-frequency harmonic controller (FFHC). The results demonstrate that the proposed strategy effectively suppresses multi-order current harmonics in the driving motor, reduces torque ripple by 45.1%, and enhances transmission stability. In addition, the proposed electromechanical coupling model provides valuable guidance for the analysis of integrated electric drive systems. Full article
(This article belongs to the Section Actuators for Surface Vehicles)
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12 pages, 223 KiB  
Article
Improving Pain Management in Critically Ill Surgical Patients: The Impact of Clinical Supervision
by Telma Coelho, Diana Rodrigues and Cristina Barroso Pinto
Surgeries 2025, 6(3), 67; https://doi.org/10.3390/surgeries6030067 - 4 Aug 2025
Abstract
Background: Pain is a problem faced by critically ill surgical patients and has a major impact on their outcomes. Pain assessment is therefore essential for effective pain management, with a combination of pharmacological and non-pharmacological treatment. Clinical supervision, supported by models such as [...] Read more.
Background: Pain is a problem faced by critically ill surgical patients and has a major impact on their outcomes. Pain assessment is therefore essential for effective pain management, with a combination of pharmacological and non-pharmacological treatment. Clinical supervision, supported by models such as SafeCare, can improve professional development, safety and the quality of care in intensive care units. Objectives: This study aimed to: (1) assess current pain assessment practices in a polyvalent Intensive Care Unit (ICU) in the Porto district; (2) identify nurses’ training needs regarding the Clinical Supervision-Sensitive Indicator—Pain; and (3) evaluate the impact of clinical supervision sessions on pain assessment practices. Methods: A quantitative, quasi-experimental, cross-sectional study with a pre- and post-intervention design was conducted. Based on the SafeCare model, it included a situational diagnosis, 6 clinical supervision sessions (February 2023), and outcome evaluation via nursing record audits (November 2022 and May 2023) in 31 total critical ill patients. Pain was assessed using standardised tools, in line with institutional protocols. Data was analysed using Software Statistical Package for the Social Sciences v25.0. Results: Pain was highly prevalent in the first 24 h, decreasing during hospitalisation. Generalised acute abdominal pain predominated, with mild to moderate intensity, and was exacerbated by wound care and mobilisation/positioning. Pain management combined pharmacological and non-pharmacological treatment. There was an improvement in all the parameters of the pain indicator post-intervention. Conclusions: Despite routine assessments, gaps remained in reassessing pain post-analgesia and during invasive procedures. Targeted clinical supervision and ongoing training proved effective in improving compliance with protocols and supporting safer, more consistent pain management. Full article
20 pages, 3145 KiB  
Article
Determination of Dynamic Elastic Properties of 3D-Printed Nylon 12CF Using Impulse Excitation of Vibration
by Pedro F. Garcia, Armando Ramalho, Joel C. Vasco, Rui B. Ruben and Carlos Capela
Polymers 2025, 17(15), 2135; https://doi.org/10.3390/polym17152135 - 4 Aug 2025
Abstract
Material Extrusion (MEX) process is increasingly used to fabricate components for structural applications, driven by the availability of advanced materials and greater industrial adoption. In these contexts, understanding the mechanical performance of printed parts is crucial. However, conventional methods for assessing anisotropic elastic [...] Read more.
Material Extrusion (MEX) process is increasingly used to fabricate components for structural applications, driven by the availability of advanced materials and greater industrial adoption. In these contexts, understanding the mechanical performance of printed parts is crucial. However, conventional methods for assessing anisotropic elastic behavior often rely on expensive equipment and time-consuming procedures. The aim of this study is to evaluate the applicability of the impulse excitation of vibration (IEV) in characterizing the dynamic mechanical properties of a 3D-printed composite material. Tensile tests were also performed to compare quasi-static properties with the dynamic ones obtained through IEV. The tested material, Nylon 12CF, contains 35% short carbon fibers by weight and is commercially available from Stratasys. It is used in the fused deposition modeling (FDM) process, a Material Extrusion technology, and exhibits anisotropic mechanical properties. This is further reinforced by the filament deposition process, which affects the mechanical response of printed parts. Young’s modulus obtained in the direction perpendicular to the deposition plane (E33), obtained via IEV, was 14.77% higher than the value in the technical datasheet. Comparing methods, the Young’s modulus obtained in the deposition plane, in an inclined direction of 45 degrees in relation to the deposition direction (E45), showed a 22.95% difference between IEV and tensile tests, while Poisson’s ratio in the deposition plane (v12) differed by 6.78%. This data is critical for designing parts subject to demanding service conditions, and the results obtained (orthotropic elastic properties) can be used in finite element simulation software. Ultimately, this work reinforces the potential of the IEV method as an accessible and consistent alternative for characterizing the anisotropic properties of components produced through additive manufacturing (AM). Full article
(This article belongs to the Special Issue Mechanical Characterization of Polymer Composites)
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20 pages, 619 KiB  
Article
A Complexity-Based Approach to Quantum Observable Equilibration
by Marcos G. Alpino, Tiago Debarba, Reinaldo O. Vianna and André T. Cesário
Entropy 2025, 27(8), 824; https://doi.org/10.3390/e27080824 (registering DOI) - 3 Aug 2025
Viewed by 54
Abstract
We investigate the role of a statistical complexity measure to assign equilibration in isolated quantum systems. While unitary dynamics preserve global purity, expectation values of observables often exhibit equilibration-like behavior, raising the question of whether a measure of complexity can track this process. [...] Read more.
We investigate the role of a statistical complexity measure to assign equilibration in isolated quantum systems. While unitary dynamics preserve global purity, expectation values of observables often exhibit equilibration-like behavior, raising the question of whether a measure of complexity can track this process. In addition to examining observable equilibration, we extend our analysis to study how the complexity of the quantum states evolves, providing insight into the transition from initial coherence to equilibrium. We define a classical statistical complexity measure based on observable entropy and deviation from equilibrium, which captures the dynamical progression towards equilibration and effectively distinguishes between complex and non-complex trajectories. In particular, our measure is sensitive to non-complex dynamics. Such dynamics include the quasi-periodic behavior exhibited by low-dimensional initial states, where the system explores a limited region of Hilbert space while preserving coherence. Numerical simulations of an Ising-like non-integrable Hamiltonian spin-chain model support these findings. Our work provides new insight into the emergence of equilibrium behavior from unitary dynamics and advances complexity as a meaningful tool in the study of the emergence of classicality in microscopic systems. Full article
(This article belongs to the Special Issue Quantum Nonstationary Systems—Second Edition)
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18 pages, 2038 KiB  
Article
Effects of 12-Week Infant Shantala Massage Program on Maternal Emotional Well-Being Following First-Time Birth
by Anna Gogola and Rafał Gnat
Healthcare 2025, 13(15), 1895; https://doi.org/10.3390/healthcare13151895 - 3 Aug 2025
Viewed by 47
Abstract
Background/Objectives: This study aimed to determine whether postpartum mothers exhibit a uniform trajectory of postpartum emotional status (PES) changes or if distinct subgroups with differing trajectories of PES exist. Additionally, it investigated whether intensified tactile stimulation of the infant through Shantala massage influences [...] Read more.
Background/Objectives: This study aimed to determine whether postpartum mothers exhibit a uniform trajectory of postpartum emotional status (PES) changes or if distinct subgroups with differing trajectories of PES exist. Additionally, it investigated whether intensified tactile stimulation of the infant through Shantala massage influences maternal PES. Method: A quasi-experimental design with a matched control group was employed. Eighty women following their first physiological delivery volunteered to participate. The intervention involved applying intensified tactile stimulation to the infant via Shantala massage over a 12-week postpartum period. Maternal PES, divided into negative and positive emotional domains, was assessed using four standardized questionnaires. Results: Two opposing trajectories of PES change were identified: adverse and favorable. Intensified tactile stimulation was associated with improvement in maternal emotional status along both trajectories. Conclusions: PES changes do not follow a uniform course across all women; notably, those with a favorable trajectory often begin with more severe symptoms. Overlooking this distinction in diagnosis, prevention, and treatment may result in suboptimal care. The factors influencing PES trajectories remain unidentified but may affect clinical intervention outcomes. The Shantala massage intervention appears to slow the progression of emotional disorders in women with adverse PES changes and accelerate recovery in those with favorable changes. Implementation of this approach in clinical settings is recommended. Full article
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14 pages, 2852 KiB  
Review
Review of Quasi-Solid Aqueous Zinc Batteries: A Bibliometric Analysis
by Zhongxiu Liu, Xiaoou Zhou, Tongyuan Shen, Miaomiao Yu, Liping Zhu, Guiyin Xu and Meifang Zhu
Batteries 2025, 11(8), 293; https://doi.org/10.3390/batteries11080293 - 3 Aug 2025
Viewed by 103
Abstract
Quasi-solid aqueous zinc batteries (QSAZBs) have wide applications in the energy storage field due to their advantages of high safety, cost-effectiveness, and eco-friendliness. Despite prolific research output in the field of QSAZBs, existing reviews predominantly focus on experimental advancements, with limited synthesis of [...] Read more.
Quasi-solid aqueous zinc batteries (QSAZBs) have wide applications in the energy storage field due to their advantages of high safety, cost-effectiveness, and eco-friendliness. Despite prolific research output in the field of QSAZBs, existing reviews predominantly focus on experimental advancements, with limited synthesis of global research trends, interdisciplinary connections, or knowledge gaps. Herein, we review the research on QSAZBs via bibliometric analysis using the VOSviewer software (version 1.6.20). First, the data from qualitatively evaluated publications on QSAZBs from 2016 and 2024 are integrated. In addition, the annual trends, leading countries/regions and their international collaborations, institutional research and patent distribution, and important keyword cluster analyses in QSAZB research are evaluated. The results reveal that China dominates in terms of publication output (71.16% of total papers), and Singapore exhibits the highest citation impact (103.2 citations/paper). International collaboration networks indicate the central role of China, with strong ties to Singapore, the USA, and Australia. Keyword clustering indicates core research priorities: cathode materials (MnO2 and V2O5), quasi-solid electrolyte optimization (hydrogels and graphene composites), and interfacial stability mechanisms. By mapping global trends and interdisciplinary linkages, this work provides insights to accelerate QSAZBs’ transition from laboratory breakthroughs to grid-scale and wearable applications. Full article
(This article belongs to the Special Issue Battery Interface: Analysis & Design)
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22 pages, 463 KiB  
Article
Improved Bounds for Integral Jensen’s Inequality Through Fifth-Order Differentiable Convex Functions and Applications
by Sidra Nisar, Fiza Zafar and Hind Alamri
Axioms 2025, 14(8), 602; https://doi.org/10.3390/axioms14080602 - 2 Aug 2025
Viewed by 192
Abstract
The main objective of this research is to obtain interesting estimates for Jensen’s gap in the integral sense, along with their applications. The convexity of a fifth-order absolute function is used to established proposed estimates of Jensen’s gap. We performed numerical computations to [...] Read more.
The main objective of this research is to obtain interesting estimates for Jensen’s gap in the integral sense, along with their applications. The convexity of a fifth-order absolute function is used to established proposed estimates of Jensen’s gap. We performed numerical computations to compare our estimates with previous findings. With the use of the primary findings, we are able to obtain improvements of the Hölder inequality and Hermite–Hadamard inequality. Furthermore, the primary results lead to some inequalities for power means and quasi-arithmetic means. We conclude by outlining the information theory applications of our primary inequalities. Full article
(This article belongs to the Special Issue Theory and Application of Integral Inequalities, 2nd Edition)
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17 pages, 4024 KiB  
Article
Experimental Investigation of Impact Mechanisms of Seeding Quality for Ridge-Clearing No-Till Seeder Under Strip Tillage
by Yuanyuan Gao, Yongyue Hu, Shuo Yang, Xueguan Zhao, Shengwei Lu, Hanjie Dou, Qingzhen Zhu, Peiying Li and Yongyun Zhu
Agronomy 2025, 15(8), 1875; https://doi.org/10.3390/agronomy15081875 - 1 Aug 2025
Viewed by 199
Abstract
Under conservation tillage in the Huang-Huai-Hai wheat–maize rotation area, the ridge-clearing no-till seeder for strip tillage mitigates the adverse impacts of surface residues on seeding quality by clearing stubble specifically within the seed rows, demonstrating significant potential for application and promotion. However, the [...] Read more.
Under conservation tillage in the Huang-Huai-Hai wheat–maize rotation area, the ridge-clearing no-till seeder for strip tillage mitigates the adverse impacts of surface residues on seeding quality by clearing stubble specifically within the seed rows, demonstrating significant potential for application and promotion. However, the inadequate understanding of the seeder’s operational performance and governing mechanisms under varying field conditions hinders its high-quality and efficient implementation. To address this issue, this study selected the stubble height, forward speed, and stubble knife rotational speed (PTO speed) as experimental factors. Employing a three-factor quasi-level orthogonal experimental design, coupled with response surface regression analysis, this research systematically elucidated the interaction mechanisms among these factors concerning the seeding depth consistency and seed spacing uniformity of the seeder. An optimized parameter-matching model was subsequently derived through equation system solving. Field trials demonstrated that a lower forward speed improved the seed spacing uniformity and seeding depth consistency, whereas high speeds increased the missing rates and spacing deviations. An appropriate stubble height enhanced the seed spacing accuracy, but an excessive height compromised depth precision. Higher PTO speeds reduced multiple indices but impaired depth accuracy. Response surface analysis based on the regression models demonstrated that the peak value of the seed spacing qualification index occurred within the forward speed range of 8–9 km/h and the stubble height range of 280–330 mm, with the stubble height being the dominant factor. Similarly, the peak value of the seeding depth qualification index occurred within the stubble height range of 300–350 mm and the forward speed range of 7.5–9 km/h, with the forward speed as the primary factor. Validation confirmed that combining stubble heights of 300−330 mm, forward speeds of 8−9 km/h, and PTO speeds of 540 r/min optimized both metrics. This research reveals nonlinear coupling relationships between operational parameters and seeding quality metrics, establishes a stubble–speed dynamic matching model, and provides a theoretical foundation for the intelligent control of seeders in conservation tillage systems. Full article
(This article belongs to the Collection AI, Sensors and Robotics for Smart Agriculture)
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21 pages, 262 KiB  
Article
Sustainability in Boreal Forests: Does Elevated CO2 Increase Wood Volume?
by Nyonho Oh, Eric C. Davis and Brent Sohngen
Sustainability 2025, 17(15), 7017; https://doi.org/10.3390/su17157017 - 1 Aug 2025
Viewed by 171
Abstract
While boreal forests constitute 30% of the Earth’s forested area and are responsible for 20% of the global carbon sink, there is considerable concern about their sustainability. This paper focuses on the role of elevated CO2, examining whether wood volume in [...] Read more.
While boreal forests constitute 30% of the Earth’s forested area and are responsible for 20% of the global carbon sink, there is considerable concern about their sustainability. This paper focuses on the role of elevated CO2, examining whether wood volume in these forests has responded to increased CO2 over the last 60 years. To accomplish this, we use a rich set of wood volume measurement data from the Province of Alberta, Canada, and deploy quasi-experimental techniques to determine the effect of elevated CO2. While the few experimental studies that have examined boreal forests have found almost no effect of elevated CO2, our results indicate that a 1.0% increase in lifetime exposure to CO2 leads to a 1.1% increase in aboveground wood volume in these boreal forests. This study showcases the value of research designs that use natural settings to better account for the effects of prolonged exposure to elevated CO2. Our results should enable improved delineation of the drivers of historical changes in wood volume and carbon storage in boreal forests. In addition, when combined with other studies, these results will likely aid policymakers in designing management or policy approaches that will enhance the sustainability of forests in boreal regions. Full article
(This article belongs to the Section Air, Climate Change and Sustainability)
15 pages, 1071 KiB  
Article
A Synthetic Difference-in-Differences Approach to Assess the Impact of Shanghai’s 2022 Lockdown on Ozone Levels
by Yumin Li, Jun Wang, Yuntong Fan, Chuchu Chen, Jaime Campos Gutiérrez, Ling Huang, Zhenxing Lin, Siyuan Li and Yu Lei
Sustainability 2025, 17(15), 6997; https://doi.org/10.3390/su17156997 - 1 Aug 2025
Viewed by 177
Abstract
Promoting sustainable development requires a clear understanding of how short-term fluctuations in anthropogenic emissions affect urban environmental quality. This is especially relevant for cities experiencing rapid industrial changes or emergency policy interventions. Among key environmental concerns, variations in ambient pollutants like ozone (O [...] Read more.
Promoting sustainable development requires a clear understanding of how short-term fluctuations in anthropogenic emissions affect urban environmental quality. This is especially relevant for cities experiencing rapid industrial changes or emergency policy interventions. Among key environmental concerns, variations in ambient pollutants like ozone (O3) are closely tied to both public health and long-term sustainability goals. However, traditional chemical transport models often face challenges in accurately estimating emission changes and providing timely assessments. In contrast, statistical approaches such as the difference-in-differences (DID) model utilize observational data to improve evaluation accuracy and efficiency. This study leverages the synthetic difference-in-differences (SDID) approach, which integrates the strengths of both DID and the synthetic control method (SCM), to provide a more reliable and accurate analysis of the impacts of interventions on city-level air quality. Using Shanghai’s 2022 lockdown as a case study, we compare the deweathered ozone (O3) concentration in Shanghai to a counterfactual constructed from a weighted average of cities in the Yangtze River Delta (YRD) that did not undergo lockdown. The quasi-natural experiment reveals an average increase of 4.4 μg/m3 (95% CI: 0.24–8.56) in Shanghai’s maximum daily 8 h O3 concentration attributable to the lockdown. The SDID method reduces reliance on the parallel trends assumption and improves the estimate stability through unit- and time-specific weights. Multiple robustness checks confirm the reliability of these findings, underscoring the efficacy of the SDID approach in quantitatively evaluating the causal impact of emission perturbations on air quality. This study provides credible causal evidence of the environmental impact of short-term policy interventions, highlighting the utility of SDID in informing adaptive air quality management. The findings support the development of timely, evidence-based strategies for sustainable urban governance and environmental policy design. Full article
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9 pages, 911 KiB  
Brief Report
Evaluation of a Febrile Neutropenia Protocol Implemented at Triage in an Emergency Department
by Stefanie Stramel-Stafford, Heather Townsend, Brian Trimmer, James Cohen and Jessica Thompson
Medicines 2025, 12(3), 20; https://doi.org/10.3390/medicines12030020 - 1 Aug 2025
Viewed by 166
Abstract
Objective: The impact of a febrile neutropenia (FN) emergency department (ED) triage screening tool and protocol on time to antibiotic administration (TTA) and patient outcomes was evaluated. Methods: This was a retrospective, quasi-experimental study of adult FN patients admitted through the ED from [...] Read more.
Objective: The impact of a febrile neutropenia (FN) emergency department (ED) triage screening tool and protocol on time to antibiotic administration (TTA) and patient outcomes was evaluated. Methods: This was a retrospective, quasi-experimental study of adult FN patients admitted through the ED from April 2014 to April 2017. In March 2016 a triage screening tool and protocol were implemented. In patients who screened positive, nursing initiated a protocol that included laboratory diagnostics and a pharmacy consult for empiric antibiotics prior to evaluation by a provider. Patients were evaluated pre- and post-protocol for TTA, 30-day mortality, ED length of stay (LOS), and hospital LOS. Results: A total of 130 patients were included in the study, 77 pre-protocol and 53 post-protocol. Median TTA was longer in the pre-protocol group at 174 min (interquartile range [IQR] 105–224) vs. 109 min (IQR 71–214) post-protocol, p = 0.04. Thirty-day mortality was greater at 18.8% pre-protocol vs. 7.5% post-protocol, p = 0.12. There was no difference in hospital LOS. Pre-protocol patients compared to post-protocol patients who had a pharmacy consult demonstrated a further reduction in TTA (174 min [IQR 105–224] vs. 87.5 min [IQR 61.5–135], p < 0.01) and a reduced mortality (18% vs. 0%, p = 0.04). Conclusions: To our knowledge, this is the first report of a protocol for febrile neutropenia that allows pharmacists to order antibiotics based on a nurse triage assessment. Evaluation of the protocol demonstrated a significant reduction in TTA and trend toward improved mortality. Full article
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