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Search Results (1,847)

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32 pages, 15499 KiB  
Article
Enhancing Transparency in Buyer-Driven Commodity Chains for Complex Products: Extending a Blockchain-Based Traceability Framework Towards the Circular Economy
by Ritwik Takkar, Ken Birman and H. Oliver Gao
Appl. Sci. 2025, 15(15), 8226; https://doi.org/10.3390/app15158226 (registering DOI) - 24 Jul 2025
Abstract
This study extends our prior blockchain-based traceability framework, WEave, for application to a furniture supply chain scenario, while using the original multi-tier apparel supply chain as an anchoring use case. We integrate circular economy principles such as product reuse, recycling traceability, and full [...] Read more.
This study extends our prior blockchain-based traceability framework, WEave, for application to a furniture supply chain scenario, while using the original multi-tier apparel supply chain as an anchoring use case. We integrate circular economy principles such as product reuse, recycling traceability, and full lifecycle transparency to bolster sustainability and resilience in supply chains by enabling data-driven accountability and tracking for closed-loop resource flows. The enhanced approach can track post-consumer returns, use of recycled materials, and second-life goods, all represented using a closed-loop supply chain topology. We describe the extended network architecture and smart contract logic needed to capture circular lifecycle events, while proposing new metrics for evaluating lifecycle traceability and reuse auditability. To validate the extended framework, we outline simulation experiments that incorporate circular flows and cross-industry scenarios. Results from these simulations indicate improved transparency on recycled content, audit trails for returned products, and acceptable performance overhead when scaling to different product domains. Finally, we offer conclusions and recommendations for implementing WEave functionality into real-world settings consistent with the goals of digital, resilient, and sustainable supply chains. Full article
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28 pages, 5015 KiB  
Article
Design and Experiment of a Vertical Cotton Stalk Crushing and Returning Machine with Large and Small Dual-Blade Discs
by Xiaohu Guo, Bin Li, Yang Liu, Shiguo Wang, Zhong Tang, Yuncheng Dong and Xiangxin Liu
Agriculture 2025, 15(15), 1572; https://doi.org/10.3390/agriculture15151572 - 22 Jul 2025
Abstract
To address the problems of low crushing efficiency and uneven distribution in traditional straw crushing and returning machines for cotton stalk return operations in Xinjiang, a vertical straw crushing and returning machine with large and small dual-blade discs was designed, adapted to Xinjiang’s [...] Read more.
To address the problems of low crushing efficiency and uneven distribution in traditional straw crushing and returning machines for cotton stalk return operations in Xinjiang, a vertical straw crushing and returning machine with large and small dual-blade discs was designed, adapted to Xinjiang’s cotton planting model. The machine employs a differentiated configuration of large and small blade discs corresponding to four and two rows of cotton stalks, respectively, effectively reducing tool workload while significantly improving operational efficiency. A simulation model of the crushing and returning machine was developed using the discrete element method (DEM), and a flexible cotton stalk model was established to systematically investigate the effects of machine forward speed, crushing blade rotational speed, and knife tip-to-ground clearance on operational performance. Single-factor simulation experiments were conducted using crushing qualification rate and broken stalk drop rate as evaluation indicators. Subsequently, a multi-factor orthogonal field experiment was designed with Design-Expert software (13.0.1.0, Stat-Ease Inc, Minneapolis, MN, USA). The optimal working parameters were determined to be machine forward speed of 3.5 m/s, crushing blade shaft speed of 1500 r/min, and blade tip ground clearance of 60 mm. Verification tests demonstrated that under these optimal parameters, the straw crushing qualification rate reached 95.9% with a broken stalk drop rate of 15.5%. The relative errors were less than 5% compared to theoretical optimization values, confirming the reliability of parameter optimization. This study provides valuable references for the design optimization and engineering application of straw return machinery. Full article
(This article belongs to the Section Agricultural Technology)
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14 pages, 280 KiB  
Review
Workplace Discrimination Against Pregnant and Postpartum Employees: Links to Well-Being
by Kimberly T. Schneider, Sarah C. Williams and Rory E. Kuhn
Int. J. Environ. Res. Public Health 2025, 22(8), 1160; https://doi.org/10.3390/ijerph22081160 - 22 Jul 2025
Viewed by 40
Abstract
Pregnancy-related discrimination at work is a concern for many employees who navigate the pregnancy and postpartum stages of parenthood while working in the early-to-middle stages of their careers. Although there is legislation prohibiting pregnancy-related discrimination and ensuring accommodations postpartum, empirical evidence indicates many [...] Read more.
Pregnancy-related discrimination at work is a concern for many employees who navigate the pregnancy and postpartum stages of parenthood while working in the early-to-middle stages of their careers. Although there is legislation prohibiting pregnancy-related discrimination and ensuring accommodations postpartum, empirical evidence indicates many pregnant and postpartum employees still experience such behaviors. In this narrative review, we focus on describing the range of behaviors assessed in studies on pregnancy-related discrimination in several cultures, situating the occurrence of discrimination within theoretical frameworks related to stereotypes and gendered expectations. We also review evidence of employees’ postpartum experiences with a focus on the transition back to work, along with breastfeeding challenges related to pumping and storing milk at work. Regarding coping with pregnancy-related workplace discrimination and postpartum challenges during a return to work, we review the importance of social support, including instrumental and emotional support from allies and role models. Full article
(This article belongs to the Special Issue How Reproductive Life Events Influence Women's Mental Health)
16 pages, 2718 KiB  
Article
Effects of Replacing Nitrogen Fertilizer with Organic Fertilizer on Soil Physicochemical Properties and Maize Yield in Yunnan’s Red Soil
by Zhao Liu, Wen Ao, Shenghang Wu, Qiheng Deng, Hao Ren, Qiang Li, Hao Li and Peng Zhang
Sustainability 2025, 17(14), 6634; https://doi.org/10.3390/su17146634 - 21 Jul 2025
Viewed by 171
Abstract
Red soil regions commonly experience land degradation and low nutrient availability. Excessive fertilizer use in recent years has intensified these challenges, necessitating scientifically informed fertilization strategies to ensure agricultural sustainability. To identify optimal fertilization strategies for maize cultivation in Yunnan’s red soil regions, [...] Read more.
Red soil regions commonly experience land degradation and low nutrient availability. Excessive fertilizer use in recent years has intensified these challenges, necessitating scientifically informed fertilization strategies to ensure agricultural sustainability. To identify optimal fertilization strategies for maize cultivation in Yunnan’s red soil regions, this study conducted field experiments involving partial substitution of nitrogen fertilizer with organic manure to determine whether this approach improves soil health and boosts maize yield. Four treatments were compared in a randomized complete block design over one growing season: no fertilization (NF), soil testing and formula fertilization (STF), 15% organic fertilizer (swine manure) replacing nitrogen fertilizer (OF15), and 30% organic fertilizer replacing nitrogen fertilizer (OF30). The results indicated that substituting organic fertilizer for nitrogen fertilizer reduced soil acidification while increasing total phosphorus (TP) and available phosphorus (AP), thereby enhancing soil physicochemical properties. Maize grown under OF30 exhibited improved agronomic traits including plant height, stem diameter, ear height, and ear length. Additionally, the partial replacement of synthetic fertilizer with organic fertilizer notably increased maize yield and the weight of 100 grains, but there was no significant difference (p < 0.05) between OF15 and OF30. Moreover, the OF30 treatment generated the highest economic return of 25,981.73 CNY·ha−1. Correlation and principal component analyses revealed that substituting organic fertilizer for nitrogen fertilizer notably influenced total nitrogen (TN), total phosphorus (TP), available phosphorus (AP), and yield, with maize yield positively correlated with TP and AP content. This study presents evidence that replacing 30% of nitrogen fertilizer with organic fertilizer is a viable strategy to enhance soil health, maize productivity, and profitability in Yunnan’s red soil regions, providing a crucial scientific foundation to support sustainable agricultural development in the region. Full article
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20 pages, 3953 KiB  
Article
Straw Returning Combined with Application of Sulfur-Coated Urea Improved Rice Yield and Nitrogen Use Efficiency Through Enhancing Carbon and Nitrogen Metabolism
by Guangxin Zhao, Kaiyu Gao, Ming Gao, Xiaotian Xu, Zeming Li, Xianzhi Yang, Ping Tian, Xiaoshuang Wei, Zhihai Wu and Meiying Yang
Agriculture 2025, 15(14), 1554; https://doi.org/10.3390/agriculture15141554 - 19 Jul 2025
Viewed by 220
Abstract
Straw returning inhibits tillering at the early stage of rice growth and thus affects grain yield. Sulfur-coated urea (SCU) has been expected to increase nitrogen use efficiency (NUE) and yield, save labor input, and reduce environmental pollution in crop production. Nevertheless, the sulfur [...] Read more.
Straw returning inhibits tillering at the early stage of rice growth and thus affects grain yield. Sulfur-coated urea (SCU) has been expected to increase nitrogen use efficiency (NUE) and yield, save labor input, and reduce environmental pollution in crop production. Nevertheless, the sulfur coatings of SCU are easy to break and then shorten the nutrient release cycle. Whether there was a complementary effect between straw returning and SCU in NUE and grain yield had remained elusive. To investigate the effects of straw returning combined with the application of SCU on NUE and rice yield, a two-year field experiment was conducted from 2022 to 2023 with three treatments (straw returning combined with conventional urea (SRU), no straw returning combined with SCU (NRS), straw returning combined with SCU (SRS)). We found that straw returning combined with the application of SCU increased rice yield and NUE significantly. Compared with SRU and NRS, SRS treatments significantly increased grain yield by 14.61–16.22%, and 4.14–7.35%, respectively. Higher effective panicle numbers per m2 and grain numbers per panicle were recorded in NRS and SRS treatments than SRU. SRS treatment increased nitrogen recovery efficiency by 79.53% and 22.97%, nitrogen agronomic efficiency by 18.68% and 17.37%, and nitrogen partial factor productivity by 10.51% and 9.81% compared with SRU and NRS treatment, respectively. The enhanced NUE in SRS was driven by higher leaf area index, SPAD value, net photosynthetic rate, carbon metabolic enzyme (RuBP and SPS) activity, nitrogen metabolic enzyme (NR, GS, and GOGAT) activity, sucrose and nitrogen content in leaves, and nitrogen accumulation in plant during grain filling. Moreover, the improved yield in SRS was closely related to superior NUE. In conclusion, straw returning combined with application of SCU boosted grain yield and NUE via enhanced carbon–nitrogen metabolism during the late growth period in rice. Full article
(This article belongs to the Special Issue Effects of Crop Management on Yields)
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8 pages, 263 KiB  
Communication
Stomatal Blocker Delays Strawberry Production
by Jie Xiang, Laura Vickers, James M. Monaghan and Peter Kettlewell
Int. J. Plant Biol. 2025, 16(3), 80; https://doi.org/10.3390/ijpb16030080 - 19 Jul 2025
Viewed by 97
Abstract
Strawberries have a short shelf-life leading to food loss and waste when production unexpectedly exceeds demand. PGRs may have potential to delay production and reduce food loss and waste, but no PGRs are available for delaying strawberry production. The aim of this preliminary [...] Read more.
Strawberries have a short shelf-life leading to food loss and waste when production unexpectedly exceeds demand. PGRs may have potential to delay production and reduce food loss and waste, but no PGRs are available for delaying strawberry production. The aim of this preliminary study was to investigate re-purposing a stomatal blocking film antitranspirant polymer as a PGR to temporarily delay production. Poly-1-p-menthene or water was applied during early fruit ripening in two glasshouse experiments, one on a June-bearer cultivar and one on an everbearer cultivar. Ripe strawberries were harvested during the next 23 days, the cumulative yield was recorded, and the production curves were fitted using polynomial regression in groups. The statistical analysis showed that cubic polynomial regression curves could be fitted separately to each treatment. Application of the blocker delayed the production of both cultivars by 1–2 days during the period of rapid berry production. The delay diminished and cumulative yield returned to the water-treated value by 13 and 18 days after application in the June-bearer and everbearer cultivars, respectively. At 23 days after application, the blocker gave 8% greater cumulative yield in the June-bearer, but not in the everbearer. It was concluded that, if a greater delay could be achieved, there may be potential to use stomatal blockers as PGRs in some cultivars of strawberry to delay production and reduce food loss and waste when unanticipated lower demand occurs. Full article
(This article belongs to the Section Plant Physiology)
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26 pages, 3919 KiB  
Article
Impacts of Various Straw Mulching Strategies on Soil Water, Nutrients, Thermal Regimes, and Yield in Wheat–Soybean Rotation Systems
by Chaoyu Liao, Min Tang, Chao Zhang, Meihua Deng, Yan Li and Shaoyuan Feng
Plants 2025, 14(14), 2233; https://doi.org/10.3390/plants14142233 - 19 Jul 2025
Viewed by 196
Abstract
Straw mulching is an important strategy for regulating soil moisture, nutrient availability, and thermal conditions in agricultural systems. However, the mechanisms by which the mulching period, thickness, and planting density interact to influence yield formation in wheat–soybean rotation systems remain insufficiently understood. In [...] Read more.
Straw mulching is an important strategy for regulating soil moisture, nutrient availability, and thermal conditions in agricultural systems. However, the mechanisms by which the mulching period, thickness, and planting density interact to influence yield formation in wheat–soybean rotation systems remain insufficiently understood. In this study, we systematically examined the combined effects of straw mulching at the seedling and jointing stages of winter wheat, as well as varying mulching thicknesses and soybean planting densities, on soil properties and crop yields through field experiments. The experimental design included straw mulching treatments during the seedling stage (T1) and the jointing stage (T2) of winter wheat, with soybean planting densities classified as low (D1, 1.8 × 105 plants·ha−1) and high (D2, 3.6 × 105 plants·ha−1). Mulching thicknesses were set at low (S1, 2830.19 kg·ha−1), medium (S2, 8490.57 kg·ha−1), and high (S3, 14,150.95 kg·ha−1), in addition to a no-mulch control (CK) for each treatment. The results demonstrated that (1) straw mulching significantly increased soil water content in the order S3 > S2 > S1 > CK and exerted a temperature-buffering effect. This resulted in increases in soil organic carbon, available phosphorus, and available potassium by 1.88−71.95%, 1.36−165.8%, and 1.92−36.34%, respectively, while decreasing available nitrogen content by 1.42−17.98%. (2) The T1 treatments increased wheat yields by 1.22% compared to the control, while the T2 treatments resulted in a 23.83% yield increase. Soybean yields increased by 23.99% under D1 and by 36.22% under D2 treatments. (3) Structural equation modeling indicated that straw mulching influenced yields by modifying interactions among soil organic carbon, available nitrogen, available phosphorus, available potassium, bulk density, soil temperature, and soil water content. Wheat yields were primarily regulated by the synergistic effects of soil temperature, water content, and available potassium, whereas soybean yields were determined by the dynamic balance between organic carbon and available potassium. This study provides empirical evidence to inform the optimization of straw return practices in wheat–soybean rotation systems. Full article
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23 pages, 4725 KiB  
Tutorial
Fragility Fractures of the Pelvis—Current Understanding and Open Questions
by Amber Gordon, Michela Saracco, Peter V. Giannoudis and Nikolaos K. Kanakaris
J. Clin. Med. 2025, 14(14), 5122; https://doi.org/10.3390/jcm14145122 - 18 Jul 2025
Viewed by 493
Abstract
Fragility fractures of the pelvis (FFPs) are common in elderly patients, particularly those with osteoporosis. FFPs can be associated with high mortality, morbidity, and functional decline. Known risk factors include being over 80 years old and delays in surgical intervention when this is [...] Read more.
Fragility fractures of the pelvis (FFPs) are common in elderly patients, particularly those with osteoporosis. FFPs can be associated with high mortality, morbidity, and functional decline. Known risk factors include being over 80 years old and delays in surgical intervention when this is required. While the role of surgery in FFPs remains less defined than in proximal femoral fractures in the elderly, studies indicate that surgical fixation offers improved survival and functional outcomes. Similarly, the choice of fixation method, whether posterior or anterior, and their combinations, vary between clinicians. It depends on the fracture type and patient-specific factors, such as bone quality and comorbidities, as well as the surgeon’s experience and the availability of resources. Additionally, orthobiologic adjuncts such as cement augmentation and sacroplasty can enhance the stability of an osteoporotic fracture during surgical intervention. Furthermore, medical treatments for osteoporosis, especially the use of teriparatide, have demonstrated beneficial effects in reducing fractures and promoting healing of the FFPs. Return to pre-injury activities is often limited, with independence rates remaining low at mid-term follow-up. Factors that influence clinical outcomes include fracture type, with Type III and IV fractures generally leading to poorer outcomes, and patient age, functional reserve, and comorbidities. The present tutorial aims to summarise the relevant evidence on all aspects of FFPs, inform an updated management strategy, and provide a template of the reconstruction ladder referring to the most available surgical techniques and treatment methods. Further research, based on large-scale studies, is needed to address the open questions described in this manuscript and refine surgical techniques, as well as determine optimal treatment pathways for this vulnerable patient population. Full article
(This article belongs to the Special Issue The “Orthogeriatric Fracture Syndrome”—Issues and Perspectives)
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81 pages, 11973 KiB  
Article
Designing and Evaluating XR Cultural Heritage Applications Through Human–Computer Interaction Methods: Insights from Ten International Case Studies
by Jolanda Tromp, Damian Schofield, Pezhman Raeisian Parvari, Matthieu Poyade, Claire Eaglesham, Juan Carlos Torres, Theodore Johnson, Teele Jürivete, Nathan Lauer, Arcadio Reyes-Lecuona, Daniel González-Toledo, María Cuevas-Rodríguez and Luis Molina-Tanco
Appl. Sci. 2025, 15(14), 7973; https://doi.org/10.3390/app15147973 - 17 Jul 2025
Viewed by 619
Abstract
Advanced three-dimensional extended reality (XR) technologies are highly suitable for cultural heritage research and education. XR tools enable the creation of realistic virtual or augmented reality applications for curating and disseminating information about cultural artifacts and sites. Developing XR applications for cultural heritage [...] Read more.
Advanced three-dimensional extended reality (XR) technologies are highly suitable for cultural heritage research and education. XR tools enable the creation of realistic virtual or augmented reality applications for curating and disseminating information about cultural artifacts and sites. Developing XR applications for cultural heritage requires interdisciplinary collaboration involving strong teamwork and soft skills to manage user requirements, system specifications, and design cycles. Given the diverse end-users, achieving high precision, accuracy, and efficiency in information management and user experience is crucial. Human–computer interaction (HCI) design and evaluation methods are essential for ensuring usability and return on investment. This article presents ten case studies of cultural heritage software projects, illustrating the interdisciplinary work between computer science and HCI design. Students from institutions such as the State University of New York (USA), Glasgow School of Art (UK), University of Granada (Spain), University of Málaga (Spain), Duy Tan University (Vietnam), Imperial College London (UK), Research University Institute of Communication & Computer Systems (Greece), Technical University of Košice (Slovakia), and Indiana University (USA) contributed to creating, assessing, and improving the usability of these diverse cultural heritage applications. The results include a structured typology of CH XR application scenarios, detailed insights into design and evaluation practices across ten international use cases, and a development framework that supports interdisciplinary collaboration and stakeholder integration in phygital cultural heritage projects. Full article
(This article belongs to the Special Issue Advanced Technologies Applied to Cultural Heritage)
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19 pages, 3309 KiB  
Article
Harnessing Microbial Agents to Improve Soil Health and Rice Yield Under Straw Return in Rice–Wheat Agroecosystems
by Yangming Ma, Yanfang Wen, Ruhongji Liu, Zhenglan Peng, Guanzhou Luo, Cheng Wang, Zhonglin Wang, Zhiyuan Yang, Zongkui Chen, Jun Ma and Yongjian Sun
Agriculture 2025, 15(14), 1538; https://doi.org/10.3390/agriculture15141538 - 17 Jul 2025
Viewed by 230
Abstract
We clarified the effect of wheat straw return combined with microbial agents on rice yield and soil properties. A field experiment was conducted using hybrid indica rice ‘Chuankangyou 2115’ and five treatments: no wheat straw return (T1), wheat straw [...] Read more.
We clarified the effect of wheat straw return combined with microbial agents on rice yield and soil properties. A field experiment was conducted using hybrid indica rice ‘Chuankangyou 2115’ and five treatments: no wheat straw return (T1), wheat straw return alone (T2), T2+ microbial agent application (Bacillus subtilis/Trichoderma harzianum = 1:1) (T3); T2+ microbial agent application (Bacillus subtilis/Trichoderma harzianum = 3:1) (T4); T2+ microbial agent application (Bacillus subtilis/Trichoderma harzianum = 1:3) (T5). T2–T5 significantly increased dry matter accumulation, soil total N, ammonium N, nitrate N, and organic matter, improving yield by 3.81–26.63%. T3 exhibited the highest yield increases in two consecutive years. At the jointing and heading stages, Penicillium and Saitozyma dominated under T3 and positively correlated with dry matter, yield, and nitrogen levels. Straw return combined with Bacillus subtilis and Trichoderma harzianum (20 g m−2 each) enhanced soil nitrogen availability and dry matter accumulation and translocation. Our findings guide efficient straw utilization, soil microbial regulation, and sustainable high-yield rice production. Full article
(This article belongs to the Section Agricultural Soils)
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14 pages, 629 KiB  
Article
In Vitro Evaluation of Enhanced Efficiency Nitrogen Fertilizers Using Two Different Soils
by Samuel Okai, Xinhua Yin, Lori Allison Duncan, Daniel Yoder, Debasish Saha, Forbes Walker, Sydney Logwood, Jones Akuaku and Nutifafa Adotey
Soil Syst. 2025, 9(3), 80; https://doi.org/10.3390/soilsystems9030080 - 16 Jul 2025
Viewed by 159
Abstract
There are discrepancies regarding the effectiveness of enhanced efficiency nitrogen (N) fertilizer (EENF) products on ammonia loss from unincorporated, surface applications of urea-based fertilizers. Soil properties and management practices may account for the differences in the performance of EENF. However, few studies have [...] Read more.
There are discrepancies regarding the effectiveness of enhanced efficiency nitrogen (N) fertilizer (EENF) products on ammonia loss from unincorporated, surface applications of urea-based fertilizers. Soil properties and management practices may account for the differences in the performance of EENF. However, few studies have investigated the performance of urea- and urea ammonium nitrate (UAN)-based EENF on soils with contrasting properties. Controlled-environment incubation experiments were conducted on two soils with different properties to evaluate the efficacy of urea and UAN forms of EENF to minimize ammonia volatilization losses. The experiments were set up as a completely randomized design, with seven treatments replicated four times for 16 days. The N treatments, which were surface-applied at 134 kg N ha−1, included untreated urea, untreated UAN, urea+ANVOLTM (urease inhibitor product), UAN+ANVOLTM, environmentally smart nitrogen (ESN®), SUPERU® (urease and nitrification inhibitor product), and urea+Excelis® (urease and nitrification inhibitor product). In this study, urea was more susceptible to ammonia loss (24.12 and 26.49% of applied N) than UAN (5.24 and 16.17% of applied N), with lower ammonia volatility from soil with a pH of 5.8 when compared to 7.0. Urea-based EENF products performed better in soil with a pH of 5.8 compared to the soil with pH 7.0, except for ESN, which was not influenced by pH. In contrast, the UAN-based EENF was more effective in the high-pH soil (7.0). Across both soils, all EENFs reduced cumulative ammonia loss by 32–91% in urea and 27–70% in UAN, respectively, when compared to their untreated forms. The urea-based EENF formulations containing both nitrification and urease inhibitors were the least effective among the EENF types, performing particularly poorly in high-pH soil (pH 7.0). In conclusion, the efficacy of EENF is dependent on soil pH, N source, and the form of EENF. These findings underscore the importance of tailoring EENF applications to specific soil conditions and N sources to optimize N use efficiency (NUE), enhance economic returns for producers, and minimize environmental impacts. Full article
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20 pages, 1641 KiB  
Article
Integrating Telemedical Supervision, Responder Apps, and Data-Driven Triage: The RuralRescue Model of Personalized Emergency Care
by Klaus Hahnenkamp, Steffen Flessa, Timm Laslo and Joachim Paul Hasebrook
J. Pers. Med. 2025, 15(7), 314; https://doi.org/10.3390/jpm15070314 - 14 Jul 2025
Viewed by 231
Abstract
Background/Objectives: This study aimed to evaluate a regional implementation project for rural emergency care (RuralRescue) and to examine how its components and outcomes may support personalized approaches in emergency medicine. While not originally designed as a personalized medicine intervention, the project combined [...] Read more.
Background/Objectives: This study aimed to evaluate a regional implementation project for rural emergency care (RuralRescue) and to examine how its components and outcomes may support personalized approaches in emergency medicine. While not originally designed as a personalized medicine intervention, the project combined digital, educational, and organizational innovations that enable patient-specific adaptation of care processes. Methods: Conducted in the rural district of Vorpommern-Greifswald (Mecklenburg–Western Pomerania, Germany), the intervention included (1) standardized cardiopulmonary resuscitation (CPR) training for laypersons, (2) a geolocation-based first responder app for medically trained volunteers, and (3) integration of a tele-emergency physician (TEP) system with prehospital emergency medical services (EMSs). A multi-perspective pre–post evaluation covered medical, economic, and organizational dimensions. Primary and secondary outcomes included bystander CPR rates, responder arrival times, telemedical triage decisions, diagnostic concordance, hospital transport avoidance, economic simulations, workload, and technology acceptance. Results: Over 12,600 citizens were trained in CPR and the responder app supported early intervention in hundreds of cases. TEPs remotely assisted 3611 emergency calls, including delegated medication in 17.8% and hospital transport avoidance in 24.3% of cases. Return of spontaneous circulation (ROSC) after out-of-hospital cardiac arrest (OHCA) was achieved in 35.6% of cases with early CPR. Diagnostic concordance reached 84.9%, and documentation completeness 92%. Centralized coordination of TEP units reduced implementation costs by over 90%. Psychological evaluation indicated variable digital acceptance by role and experience. Conclusions: RuralRescue demonstrates that digitally supported, context-aware, and regionally integrated emergency care models can contribute significantly to personalized emergency medicine and can be cost-effective. The project highlights how intervention intensity, responder deployment, and treatment decisions can be tailored to patient needs, professional capacity, and regional structures—even in resource-limited rural areas. Full article
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11 pages, 391 KiB  
Article
Implementing a Novel Resident-Led Peer Support Program for Emergency Medicine Resident Physicians
by Kyra D. Reed, Alexandra E. Serpe, Alexandria P. Weston, Destiny D. Folk, Heather P. Kelker, Aloysius J. Humbert, Katie E. Pettit and Julie L. Welch
Behav. Sci. 2025, 15(7), 943; https://doi.org/10.3390/bs15070943 - 12 Jul 2025
Viewed by 208
Abstract
Background: Residency training is a formative and rigorous experience, with burnout rates reported at 76%. Formal peer support groups have shown improvement in burnout among healthcare workers with anxiety and depression. Objective: Implement a peer support program for emergency medicine (EM) residents and [...] Read more.
Background: Residency training is a formative and rigorous experience, with burnout rates reported at 76%. Formal peer support groups have shown improvement in burnout among healthcare workers with anxiety and depression. Objective: Implement a peer support program for emergency medicine (EM) residents and characterize utilization of metrics by demographics, burnout rates of participants, and overall session impact. Methods: An IRB-approved, longitudinal, prospective cohort study of 73 EM and EM/Pediatrics residents post-graduate year (PGY) 1–5 from July 2021–June 2022 was performed. Resident peer leaders were trained using a novel curriculum to lead peer support groups. Residents were invited to participate in biweekly sessions, with optional pre- and post-session surveys measuring demographics, burnout, themes discussed, and how they felt after sessions (Patients’ Global Impression of Change scale). Results: There were 134 attendances over 20 sessions, averaging 6 residents per session. Of 73 total residents, 37 (50%) participated at least once. All levels of training were represented, with half being female, 20% underrepresented in medicine, and 14% LGBTQ+. Overall burnout rates were unchanged for first-time attendances (49%, n = 18) vs. recurrent (50%, n = 11). Females had higher burnout at both baseline (60%, n = 15) and recurrent sessions (69%, n = 13). Following sessions, 94% of participants reported feeling immediately better and 100% of leaders felt prepared leading peer support sessions. Conclusions: This study demonstrates that residents utilize peer support, with many returning more than once. Despite stable burnout rates, 94% of participants felt immediately better after the session, suggesting that peer support is a valuable resource for residents actively experiencing burnout. Full article
(This article belongs to the Special Issue Burnout and Psychological Well-Being of Healthcare Workers)
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31 pages, 4680 KiB  
Article
Path Mechanism and Field Practice Effect of Green Agricultural Production on the Soil Organic Carbon Dynamics and Greenhouse Gas Emission Intensity in Farmland Ecosystems
by Xiaoqian Li, Yi Wang, Wen Chen and Bin He
Agriculture 2025, 15(14), 1499; https://doi.org/10.3390/agriculture15141499 - 12 Jul 2025
Viewed by 281
Abstract
Exploring the mechanisms by which green agricultural production reduces emissions and enhances carbon sequestration in soil can provide a scientific basis for greenhouse gas reduction and sustainable development in farmland. This study uses a combination of meta-analysis and field experiments to evaluate the [...] Read more.
Exploring the mechanisms by which green agricultural production reduces emissions and enhances carbon sequestration in soil can provide a scientific basis for greenhouse gas reduction and sustainable development in farmland. This study uses a combination of meta-analysis and field experiments to evaluate the impact of different agricultural management practices and climatic conditions on soil organic carbon (SOC) and the emissions of CO2 and CH4, as well as the role of microorganisms. The results indicate the following: (1) Meta-analysis reveals that the long-term application of organic fertilizers in green agriculture increases SOC at a rate four times higher than that of chemical fertilizers. No-till and straw return practices significantly reduce CO2 emissions from alkaline soils by 30.7% (p < 0.05). Warm and humid climates in low-altitude regions are more conducive to soil carbon sequestration. (2) Structural equation modeling of plant–microbe–soil carbon interactions shows that plant species diversity (PSD) indirectly affects microbial biomass by influencing organic matter indicators, mineral properties, and physicochemical characteristics, thereby regulating soil carbon sequestration and greenhouse gas emissions. (3) Field experiments conducted in the typical green farming research area of Chenzhuang reveal that soils managed under natural farming absorb CH4 at a rate three times higher than those under conventional farming, and the stoichiometric ratios of soil enzymes in the former are close to 1. The peak SOC (19.90 g/kg) in the surface soil of Chenzhuang is found near fields cultivated with natural farming measures. This study provides theoretical support and practical guidance for the sustainable development of green agriculture. Full article
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10 pages, 205 KiB  
Article
Continuity of Cancer Care: Female Participants’ Report of Healthcare Experiences After Conclusion of Primary Treatment
by Mirna Becevic, Garren Powell, Allison B. Anbari and Jane A. McElroy
Curr. Oncol. 2025, 32(7), 399; https://doi.org/10.3390/curroncol32070399 - 11 Jul 2025
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Abstract
Background: Understanding patient perceptions of cancer care is crucial for improving treatment experiences and health outcomes. This study explores female patient-reported experiences with cancer care. Our aim was to identify areas for improvement and enhance patient-centered approaches in specialty and primary care settings. [...] Read more.
Background: Understanding patient perceptions of cancer care is crucial for improving treatment experiences and health outcomes. This study explores female patient-reported experiences with cancer care. Our aim was to identify areas for improvement and enhance patient-centered approaches in specialty and primary care settings. Methods: This was a prospective observational study using ResearchMatch. Our eligibility criteria were 40 years or older adult cancer diagnosis, female, and treated for cancer in the United States. Results: Among the eligible participants (n = 1224), 64 responded to the invitation and 57 completed the survey (89% participation proportion). The majority of the respondents were not receiving treatment during the study period (68%). Of those, 89% completed the recommended treatment, and 10% stopped the treatment before completion. Nearly 80% of respondents saw the same oncologist during the treatment at every appointment, and only 8% reported changing clinicians during their primary cancer treatment. Over 63% of respondents were not seeing the same primary care clinician as they did when they were first diagnosed. Respondents reported facing challenges with employment and ability to return to work (26%), being able to afford medication (21%), and paying medical bills (15%). Discussion: This study, albeit for a small number of participants (n = 57) identified strengths and challenges in cancer care. Consistent oncologist involvement and proximity to care centers was consistently reported during active treatment. Discontinuity with primary care, however, may warrant further inquiry. Reported financial, employment and access issues support previous studies that identified these as major challenges during and after active cancer treatment. Our study underscored the need to enhance patient-centered coordination and support to improve cancer and survivorship care outcomes. Full article
(This article belongs to the Section Psychosocial Oncology)
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