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15 pages, 1535 KB  
Article
Optimizing Nitrogen Supplementation: Timing Strategies to Mitigate Waterlogging Stress in Winter- and Spring-Type Canola
by Haochen Zhao, Onusha Sharmita, Abu Bakar Siddique, Sergey Shabala, Meixue Zhou and Chenchen Zhao
Plants 2025, 14(17), 2641; https://doi.org/10.3390/plants14172641 - 25 Aug 2025
Abstract
Canola is an important rotation crop in Australia’s high-rainfall zone (HRZ), where frequent waterlogging occurs. Due to its lack of aerenchyma, canola is more vulnerable to waterlogging. Recent studies have shown that nitrogen supplementation can benefit crop growth under waterlogging stress. However, limited [...] Read more.
Canola is an important rotation crop in Australia’s high-rainfall zone (HRZ), where frequent waterlogging occurs. Due to its lack of aerenchyma, canola is more vulnerable to waterlogging. Recent studies have shown that nitrogen supplementation can benefit crop growth under waterlogging stress. However, limited reports have addressed the physiological responses and macronutrient changes in either winter or spring canola with strategically timed fertilizer applications. This study investigated the physiological and elemental responses of two canola genotypes to nitrogen application at different timings during waterlogging stress. By imposing waterlogging stress in pot-based trials for 21 days using spring-type (Dynatron) and winter-type (Nizza) canola, our results demonstrated that nitrogen application one week prior to the onset of waterlogging marginally improved soil plant analysis development (SPAD) values in the two types of canola, but only significantly enhanced stomatal conductance along with reduced photosynthetic efficiency in Dynatron at the end of waterlogging, indicating genotypic differences. Furthermore, applying fertilizer a week before waterlogging enhanced macronutrient accumulation in Dynatron, including phosphorus, potassium, magnesium, and calcium. In contrast, Nizza only exhibited a significant increase in magnesium accumulation. Fertilizer application had no effect on reducing Mn and Fe accumulation in canola, indicating that Mn and Fe toxicity, typically associated with soil waterlogging, was not a contributing factor in nitrogen-induced waterlogging alleviation. Collectively, our results demonstrated genotype-specific nutrient dynamics, which should be considered in nitrogen-induced waterlogging alleviation. Full article
(This article belongs to the Special Issue Towards Crops Resilience to Waterlogging)
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15 pages, 771 KB  
Article
Moderate Alcohol Consumption and Risk of Depression: A Longitudinal Analysis in Community-Dwelling Older Adults
by Mohammadreza Mohebbi, Najmeh Davoodian, Shiva Ganjali, Lawrence J. Beilin, Michael Berk, Malcolm Forbes, John J. McNeil, Mark R Nelson, Joanne Ryan, Rory Wolfe, Robyn L. Woods and Mojtaba Lotfaliany
Nutrients 2025, 17(16), 2688; https://doi.org/10.3390/nu17162688 - 20 Aug 2025
Viewed by 396
Abstract
Background/Objectives: Evidence suggests a J-shaped association between alcohol consumption and depression, but it remains unclear whether this reflects a true causal effect, reverse causation, or methodological bias. This uncertainty is particularly relevant in older adults, who are at increased risk for both depression [...] Read more.
Background/Objectives: Evidence suggests a J-shaped association between alcohol consumption and depression, but it remains unclear whether this reflects a true causal effect, reverse causation, or methodological bias. This uncertainty is particularly relevant in older adults, who are at increased risk for both depression and alcohol-related harms. This study aimed to examine the association between varying levels of alcohol consumption and depression risk in community-dwelling older adults. Methods: We analyzed 16,563 community-dwelling older adults (mean age 75.1 ± 4.6 years) from the ASPirin in Reducing Events in the Elderly (ASPREE) trial. Alcohol intake, reported at baseline and follow-up, was categorized as abstinent, occasional, moderate, or above-guideline. Both intention-to-treat (classified by baseline alcohol consumption, regardless of later changes) and per-protocol (using annual time-updated alcohol consumption ) analyses were performed. To address confounding, informative censoring, and selection bias, we applied marginal structural models with inverse probability weighting. Results: In per-protocol analyses, abstainers (OR 1.17), occasional drinkers (OR 1.11), and above-guideline drinkers (OR 1.15) were significantly associated with a higher risk of depression compared with moderate drinkers, consistent with a J-shaped association. Sensitivity analyses excluding former drinkers and those with baseline depressive symptoms showed similar results. The association remained robust after adjusting for social isolation, social support, social interactions, physical activity, pain, sleep duration, sleep difficulties, and sleep medication use (n = 14,892; Australian sub-sample), and did not differ by sex. Conclusions: Moderate alcohol consumption was associated with the lowest depression risk, confirming a J-shaped relationship after comprehensive confounder adjustment. Full article
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28 pages, 24311 KB  
Article
High-Resolution Siting of Utility-Scale Solar and Wind: Bridging Pixel-Level Costs and Regional Planning
by Cheng Cheng, Andrew Blakers, Timothy Weber, Kylie Catchpole and Anna Nadolny
Energies 2025, 18(16), 4361; https://doi.org/10.3390/en18164361 - 15 Aug 2025
Viewed by 443
Abstract
Achieving net zero relies on siting large-scale solar and wind where they are cheapest and most socially acceptable. We present a transferable, evidence-based siting framework and apply it to Australia. The landscape is divided into millions of 250 m pixels, each assigned an [...] Read more.
Achieving net zero relies on siting large-scale solar and wind where they are cheapest and most socially acceptable. We present a transferable, evidence-based siting framework and apply it to Australia. The landscape is divided into millions of 250 m pixels, each assigned an indicative cost based on resource quality, distance-weighted connection costs, and land use exclusions. Two bounding generation mix scenarios (high solar vs. high wind) stack the cheapest pixels until a fully electrified demand of 20 MWh per capita per year is met. Results are aggregated to all 547 Local Government Areas (LGAs) and 150 federal electorates and expressed as capital inflow, construction job-years, long-term jobs, and land-lease income. We find Class A solar (<50 AUD/MWh) is abundant nationwide except in Tasmania, while high-quality wind is concentrated in Victoria, Tasmania, and coastal Western Australia. Just 15% of LGAs, mainly within 100 km of the existing 275–500 kV transmission backbone, can host over half of least-cost capacity. A single top-ranked LGA such as Toowoomba (Queensland) could attract around AUD 33 billion in investment and sustain over 50,000 construction job-years. Mapping ten candidate high-voltage transmission corridors shows how new lines shift opportunities to under-served councils. The results bridge the gap between state-level renewable energy zones and fine-scale site suitability maps, with policy recommendations proposed. Because the workflow relies mainly on globally available datasets, it can be replicated in other countries to raise public awareness, align policy with community support, and accelerate clean-energy buildouts while maximising regional benefit. Full article
(This article belongs to the Section B: Energy and Environment)
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19 pages, 4032 KB  
Article
Modest Irrigation Frequency Improves Maize Water Use Efficiency and Influences Trait Expression
by Carla Sofia Santos Ferreira, Arona Figueroa Pires, André Pereira, Pedro Mendes-Moreira and Matthew Tom Harrison
Sustainability 2025, 17(16), 7365; https://doi.org/10.3390/su17167365 - 14 Aug 2025
Viewed by 298
Abstract
While irrigation is generally required for most summer crops in the Mediterranean region, increasingly scarce water supplies are leading to a demand for more efficient irrigation infrastructure. Here, we assess how three irrigation volumes—100 mm/week (simulating excess water), 55 mm twice per week [...] Read more.
While irrigation is generally required for most summer crops in the Mediterranean region, increasingly scarce water supplies are leading to a demand for more efficient irrigation infrastructure. Here, we assess how three irrigation volumes—100 mm/week (simulating excess water), 55 mm twice per week (moderate supply), and a variable amount adjusted on a weekly basis according to crop water demand (AMP) applied once or twice weekly via drip irrigation—impacted the growth, yield, and ear traits of a local maize variety under low-input farming in central Portugal. We found that irrigation management significantly influenced grain yield and irrigation water use efficiency (IWUE), with the 55 mm treatment applied twice weekly achieving the highest yield (3504 kg ha−1) and IWUE (7.2 kg ha−1 mm−1). The highest irrigation treatment (100 mm/weekly) impaired yield (996 kg ha−1 and 1973 kg ha−1, when water was applied in one or two events), likely due to nutrient leaching, and resulted in the lowest IWRU (1.2 kg ha−1 mm−1 and 2.5 kg ha−1 mm−1, respectively). Biweekly applications tended to increase crop height. Irrigation rate and frequency significantly affected kernel number and size, but not total ear weight or cob-to-ear weight ratio. These findings highlight the importance of irrigation frequency based on crop water demand over blanket approaches based on volume alone. Full article
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20 pages, 374 KB  
Article
Genetic Variants, Metabolic Dysfunction-Associated Fatty Liver Disease, and Major Health Outcomes in Older Adults
by Daniel Clayton-Chubb, Ammar Majeed, William W. Kemp, Chenglong Yu, Peter W. Lange, Jessica A. Fitzpatrick, Robyn L. Woods, Andrew M. Tonkin, Andrew T. Chan, Mark R. Nelson, Joanne Ryan, Alexander D. Hodge, John S. Lubel, Hans G. Schneider, John J. McNeil and Stuart K. Roberts
Biomedicines 2025, 13(8), 1977; https://doi.org/10.3390/biomedicines13081977 - 14 Aug 2025
Viewed by 245
Abstract
Background and Aims: Multiple genetic variants have been associated with disease prevalence and outcomes in middle-aged people with metabolic dysfunction-associated fatty liver disease (MAFLD). However, genetic studies in older adults have been lacking. We aimed to understand their clinical relevance in healthy [...] Read more.
Background and Aims: Multiple genetic variants have been associated with disease prevalence and outcomes in middle-aged people with metabolic dysfunction-associated fatty liver disease (MAFLD). However, genetic studies in older adults have been lacking. We aimed to understand their clinical relevance in healthy older persons. Methods: A secondary analysis of the ASPREE (ASPirin in Reducing Events in the Elderly) randomized trial involving community-dwelling older adults ≥ 70 years without prior cardiovascular disease events or life-limiting illness at enrolment. The Fatty Liver Index (FLI) was used to identify MAFLD at baseline. We assessed the associations between six previously reported MAFLD-associated genetic variants with prevalent MAFLD at baseline, and the associations of these variants with cardiovascular disease events and all-cause mortality. Results: A total of 8756 participants with genetic data were stratified according to the FLI, with 3310 having MAFLD at baseline. The follow-up was for a median of 8.4 (IQR 7.3–9.5) years. Variants in two genes (GCKR and HSD17B13) were associated with prevalent MAFLD (p < 0.05); PNPLA3, TM6SF2, LYPLAL1, and MBOAT7 were not. PNPLA3, TM6SF2, HSD17B13, GCKR, and LYPLAL1 were not associated with major adverse cardiovascular events (MACEs) or mortality in the overall cohort or in participants with MAFLD during the follow-up (all p > 0.05). Within the MAFLD group, homozygosity for the rs641738 C > T variant in the MBOAT7 gene was associated with a reduced risk of MACEs (HR 0.68 [95% CI 0.48–0.97]), but not all-cause mortality (HR 1.14 [95% CI 0.89–1.47]). This protective association remained significant after adjusting for multiple key covariates (aHR 0.64 [95% CI 0.44–0.92]). The results were similar when using the metabolic dysfunction-associated steatotic liver disease definition rather than MAFLD. Conclusions: The rs641738 C > T variant in MBOAT7 may confer protection against MACEs in older adults with MAFLD, independent of other clinical risk factors. Further validation using external cohorts is needed. Full article
(This article belongs to the Special Issue Advances in Hepatology)
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49 pages, 10419 KB  
Review
State-of-the-Art Review and Prospect of Modelling the Dynamic Fracture of Rocks Under Impact Loads and Application in Blasting
by Muhammad Kamran, Hongyuan Liu, Daisuke Fukuda, Peng Jia, Gyeongjo Min and Andrew Chan
Geosciences 2025, 15(8), 314; https://doi.org/10.3390/geosciences15080314 - 12 Aug 2025
Viewed by 347
Abstract
The dynamic fracture of rocks under impact loads has many engineering applications such as rock blasting. This study reviews the recent achievements of investigating rock dynamic fracturing and its application in rock blasting using computational mechanics methods and highlights the prospects of modelling [...] Read more.
The dynamic fracture of rocks under impact loads has many engineering applications such as rock blasting. This study reviews the recent achievements of investigating rock dynamic fracturing and its application in rock blasting using computational mechanics methods and highlights the prospects of modelling them with a hybrid finite-discrete element method (HFDEM) originally developed by the authors. The review first summarizes the peculiarities of rock dynamic fracturing compared with static fracturing, which are that the physical-mechanical properties of rocks, including stress wave propagation, strength, fracture toughness, energy partition and cracking mechanism, depend on loading rate. Then the modelling of these peculiarities and their applications in rock blasting using fast developing computational mechanics methods are reviewed with a focus on the advantages and disadvantages of prevalent finite element method (FEM) as representative continuum method, discrete element method (DEM) as representative discontinuum method and combined finite-discrete element (FDEM) as representative hybrid method, which highlights FDEM is the most promising method for modelling rock dynamic fracture and blasting application as well as points out the research gaps in the field of modelling the dynamic fracture of rocks under impact loads. After that, the progress of shortening some of these gaps by developing and applying HFDEM, i.e., the authors’ version of FDEM, for modelling rock dynamic fracture and applications in rock blasting are reviewed, which include the features of modelling the effects of loading rate; stress wave propagation, reflection and absorbing as well as stress wave-induced fracture; explosive-rock interaction including detonation-induced gas expansion and flow through fracturing rock; coupled multiaxial static and dynamic loads; heterogeneous rock and rock mass with pre-existing discrete fracture network; and dynamic fracturing-induced fragment size distribution. Finally, the future directions of modelling the dynamic fracture of rocks under impact loads are highlighted and a systematic numerical approach is proposed for modelling rock blasting. Full article
(This article belongs to the Section Geomechanics)
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29 pages, 2505 KB  
Article
Battery Energy Storage Systems: Energy Market Review, Challenges, and Opportunities in Frequency Control Ancillary Services
by Gian Garttan, Sanath Alahakoon, Kianoush Emami and Shantha Gamini Jayasinghe
Energies 2025, 18(15), 4174; https://doi.org/10.3390/en18154174 - 6 Aug 2025
Viewed by 790
Abstract
Battery energy storage systems (BESS) are considered a good energy source to maintain supply and demand, mitigate intermittency, and ensure grid stability. The primary contribution of this paper is to provide a comprehensive overview of global energy markets and a critical analysis of [...] Read more.
Battery energy storage systems (BESS) are considered a good energy source to maintain supply and demand, mitigate intermittency, and ensure grid stability. The primary contribution of this paper is to provide a comprehensive overview of global energy markets and a critical analysis of BESS’ participation in frequency control ancillary service (FCAS) markets. This review synthesises the current state of knowledge on the evolution of the energy market and the role of battery energy storage systems in providing grid stability, particularly frequency control services, with a focus on their integration into evolving high-renewable-energy-source (RES) market structures. Specifically, solar PV and wind energy are emerging as the main drivers of RES expansion, accounting for approximately 61% of the global market share. A BESS offers greater flexibility in storage capacity, scalability and rapid response capabilities, making it an effective solution to address emerging security risks of the system. Moreover, a BESS is able to provide active power support through power smoothing when coupled with solar photovoltaic (PV) and wind generation. In this paper, we provide an overview of the current status of energy markets, the contribution of battery storage systems to grid stability and flexibility, as well as the challenges that BESS face in evolving electricity markets. Full article
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19 pages, 398 KB  
Article
Analyzing Regional Disparities in China’s Green Manufacturing Transition
by Xuejuan Wang, Qi Deng, Riccardo Natoli, Li Wang, Wei Zhang and Catherine Xiaocui Lou
Sustainability 2025, 17(15), 7127; https://doi.org/10.3390/su17157127 - 6 Aug 2025
Viewed by 434
Abstract
China has identified the high-quality development of its green manufacturing transition as the top priority for upgrading their industrial structure system which will lead to the sustainable development of an innovation ecosystem. To assess their progress in this area, this study selects the [...] Read more.
China has identified the high-quality development of its green manufacturing transition as the top priority for upgrading their industrial structure system which will lead to the sustainable development of an innovation ecosystem. To assess their progress in this area, this study selects the panel data of 31 provinces in China from 2011 to 2021 and constructs an evaluation index system for the green transformation of the manufacturing industry from four dimensions: environment, resources, economy, and industrial structure. This not only comprehensively and systematically reflects the dynamic changes in the green transformation of the manufacturing industry but also addresses the limitations of currently used indices. The entropy value method is used to calculate the comprehensive score of the green transformation of the manufacturing industry, while the key factors influencing the convergence of the green transformation of the manufacturing industry are further explored. The results show that first, the overall level of the green transformation of the manufacturing industry has significantly improved as evidenced by an approximate 32% increase. Second, regional differences are significant with the eastern region experiencing significantly higher levels of transformation compared to the central and western regions, along with a decreasing trend from the east to the central and western regions. From a policy perspective, the findings suggest that tailored production methods for each region should be adopted with a greater emphasis on knowledge exchanges to promote green transition in less developed regions. In addition, further regulations are required which, in part, focus on increasing the degree of openness to the outside world to promote the level of green manufacturing transition. Full article
(This article belongs to the Section Sustainable Management)
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11 pages, 1267 KB  
Article
Universal Screening Criteria for VIV of Free Spans, V*
by Hayden Marcollo, Matthew Behan and Craig Dillon-Gibbons
J. Mar. Sci. Eng. 2025, 13(8), 1501; https://doi.org/10.3390/jmse13081501 - 5 Aug 2025
Viewed by 351
Abstract
Vortex-induced vibrations (VIVs) pose significant risks to the structural integrity of subsea cables and pipelines under free-span conditions. It is extremely helpful to be able to screen for VIV and understand for a particular cable or pipeline what the minimum free-span threshold lengths [...] Read more.
Vortex-induced vibrations (VIVs) pose significant risks to the structural integrity of subsea cables and pipelines under free-span conditions. It is extremely helpful to be able to screen for VIV and understand for a particular cable or pipeline what the minimum free-span threshold lengths are beyond which in-line and/or cross-flow VIV can be excited, causing fatigue problems. To date screening is a more complex and detailed task. This paper introduces a universal dimensionless velocity, V*, and one graph that can be used across all types of VIV free spans to quickly assess minimum free-span threshold lengths. Natural frequencies are not required to be calculated for screening each time, as they are implicit in the curve. The universal criteria are developed via non-dimensional analysis to establish the significant physical mechanisms, after which the relationships are populated, forming a single curve for in-line and for cross-flow VIV with a typical mass ratio and a conservative zero as-laid tension case. Full article
(This article belongs to the Section Ocean Engineering)
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16 pages, 683 KB  
Review
How Australian Rural Health Academic Centres Contribute to Developing the Health Workforce to Improve Indigenous Health: A Focused Narrative Review
by Emma V. Taylor, Lisa Hall, Ha Hoang, Annette McVicar, Charmaine Green, Bahram Sangelaji, Carrie Lethborg and Sandra C. Thompson
Healthcare 2025, 13(15), 1888; https://doi.org/10.3390/healthcare13151888 - 1 Aug 2025
Viewed by 364
Abstract
Background/Objectives: Improving health outcomes for Indigenous people by strengthening the cultural safety of care is a vital challenge for the health sector. University Departments of Rural Health (UDRH), academic centres based in regional, rural, and remote (RRR) locations across Australia, are uniquely positioned [...] Read more.
Background/Objectives: Improving health outcomes for Indigenous people by strengthening the cultural safety of care is a vital challenge for the health sector. University Departments of Rural Health (UDRH), academic centres based in regional, rural, and remote (RRR) locations across Australia, are uniquely positioned to foster a culturally safe rural health workforce through training, education, and engagement with Indigenous communities. This narrative review examines the contributions of UDRHs to health workforce issues through analysis of their publications focused on Indigenous health. Methods: Research articles relating to workforce were identified from an established database of UDRH Indigenous health-related publications published 2010–2021. Results: Of 46 articles identified across the 12 years, 19 focused on developing the understanding and cultural safety skills of university students studying in a health field, including campus-based Indigenous health education and support for students undertaking rural clinical placements. Twelve articles investigated cultural safety skills and recruitment and retention of the rural health workforce. Fifteen articles focused on Indigenous people in the health workforce, examining clinical training and resources, and the enablers and barriers to retaining Indigenous students and workers. Conclusions: This analysis highlights the sustained efforts of UDRHs to improve Indigenous health through multiple areas within their influence, including curriculum design, health student training on campus, and rural placement opportunities to transform understanding of Indigenous strengths and disadvantages and rural health workforce development. A continuing effort is needed on ways UDRHs can support Indigenous health students during their studies and while on placement, how to improve cultural safety in the health workforce, and ways to better support Indigenous health professionals. Full article
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21 pages, 6386 KB  
Article
Exploring Composition and Within-Population Variation in the Phloem Exudate “Manna” in Eucalyptus viminalis
by Erin C. P. M. Bok, Geoffrey M. While, Peter A. Harrison and Julianne M. O’Reilly-Wapstra
Plants 2025, 14(15), 2294; https://doi.org/10.3390/plants14152294 - 25 Jul 2025
Viewed by 372
Abstract
Sugary phloem exudates are produced by many plant species and play key roles in carbon storage, defense, and ecological interactions. Among eucalypts, one such exudate, manna, is an important carbohydrate source for birds, mammals, and insects. Despite its ecological relevance, little is known [...] Read more.
Sugary phloem exudates are produced by many plant species and play key roles in carbon storage, defense, and ecological interactions. Among eucalypts, one such exudate, manna, is an important carbohydrate source for birds, mammals, and insects. Despite its ecological relevance, little is known about the composition and intra-specific variability of manna. Here, we investigated patterns of manna production in Eucalyptus viminalis, a widespread foundation tree species in southeastern Australia. We developed a repeatable ex situ method to extract and analyze manna, allowing us to characterize its sugar composition and examine variation within and between trees. Across years, manna contained six sugars, with sucrose and raffinose dominant. We found substantial variation in both the quality (sucrose/raffinose ratio) and quantity (mg) of manna produced. Both declined with increasing tree size (DBH), while quality increased with branch circumference. Seasonal and annual variation in manna was also evident, with quality increasing under drier conditions (positive correlation with aridity). Our findings demonstrate substantial intra-specific variation in phloem exudates (manna), shaped by temporal and tree-level factors. These patterns offer a foundation for future research into the ecological and physiological drivers of exudate variation and resource availability in foundation species like E. viminalis. Full article
(This article belongs to the Section Plant Ecology)
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12 pages, 249 KB  
Data Descriptor
Time Series Dataset of Phenology, Biomass, and Chemical Composition of Cassava (Manihot esculenta Crantz) as Affected by Time of Planting and Variety Interactions in Field Trials at Koronivia, Fiji
by Poasa Nauluvula, Bruce L. Webber, Roslyn M. Gleadow, William Aalbersberg, John N. G. Hargreaves, Bianca T. Das, Diogenes L. Antille and Steven J. Crimp
Data 2025, 10(8), 120; https://doi.org/10.3390/data10080120 - 23 Jul 2025
Viewed by 801
Abstract
Cassava is the sixth most important food crop and is cultivated in more than 100 countries. The crop tolerates low soil fertility and drought, enabling it to play a role in climate adaptation strategies. Cassava generally requires careful preparation to remove toxic hydrogen [...] Read more.
Cassava is the sixth most important food crop and is cultivated in more than 100 countries. The crop tolerates low soil fertility and drought, enabling it to play a role in climate adaptation strategies. Cassava generally requires careful preparation to remove toxic hydrogen cyanide (HCN) before its consumption, but HCN concentrations can vary considerably between varieties. Climate change and low inputs, particularly carbon and nutrients, affect agriculture in Pacific Island countries where cassava is commonly grown alongside traditional crops (e.g., taro). Despite increasing popularity in this region, there is limited experimental data about cassava crop management for different local varieties, their relative toxicity and nutritional value for human consumption, and their interaction with changing climate conditions. To help address this knowledge gap, three field experiments were conducted at the Koronivia Research Station of the Fiji Ministry of Agriculture. Two varieties of cassava with contrasting HCN content were planted at three different times coinciding with the start of the wet (September-October) or dry (April) seasons. A time series of measurements was conducted during the full 18-month or differing 6-month durations of each crop, based on destructive harvests and phenological observations. The former included determination of total biomass, HCN potential, carbon isotopes (δ13C), and elemental composition. Yield and nutritional value were significantly affected by variety and time of planting, and there were interactions between the two factors. Findings from this work will improve cassava management locally and will provide a valuable dataset for agronomic and biophysical model testing. Full article
15 pages, 1006 KB  
Article
Framework for a Modular Emergency Departments Registry: A Case Study of the Tasmanian Emergency Care Outcomes Registry (TECOR)
by Viet Tran, Lauren Thurlow, Simone Page and Giles Barrington
Hospitals 2025, 2(3), 18; https://doi.org/10.3390/hospitals2030018 - 23 Jul 2025
Viewed by 338
Abstract
Background: The emergency department (ED) often represents the entry point to care for patients that require urgent medical attention or have no alternative for medical treatment. This has implications on scope of practice and how quality of care is measured. A diverse [...] Read more.
Background: The emergency department (ED) often represents the entry point to care for patients that require urgent medical attention or have no alternative for medical treatment. This has implications on scope of practice and how quality of care is measured. A diverse array of methodologies has been developed to evaluate the quality of clinical care and broadly includes quality improvement (QI), quality assurance (QA), observational research (OR) and clinical quality registries (CQRs). Considering the overlap between QI, QA, OR and CQRs, we conceptualized a modular framework for TECOR to effectively and efficiently streamline clinical quality evaluations. Streamlining is both appropriate and justified as it reduces redundancy, enhances clarity and optimizes resource utilization, thereby allowing clinicians to focus on delivering high-quality patient care without being overwhelmed by excessive data and procedural complexities. The objective of this study is to describe the process for designing a modular framework for ED CQRs using TECOR as a case study. Methods: We performed a scoping audit of all quality projects performed in our ED over a 1-year period (1 January 2021 to 31 December 2021) as well as data mapping and categorical formulation of key themes from the TECOR dataset with clinical data sources. Both these processes then informed the design of TECOR. Results: For the audit of quality projects, we identified 29 projects. The quality evaluation methodologies for these projects included 12 QI projects, 5 CQRs and 12 OR projects. Data mapping identified that clinical information was fragmented across 11 distinct data sources. Through thematic analysis during data mapping, we identified three extraction techniques: self-extractable, manual entry and on request. Conclusions: The modular framework for TECOR aims to enable an efficient streamlined approach that caters to all aspects of clinical quality evaluation to enable higher throughput of clinician-led quality evaluations and improvements. TECOR is also an essential component in the development of a learning health system to drive evidence-based practice and the subject of future research. Full article
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33 pages, 832 KB  
Article
Understanding the Role and Challenges for Indigenous and Community-Governed Lands in Contributing to Target 3 of the Global Biodiversity Framework
by Caroline Lumosi, Carolina Hazin, James Fitzsimons and Siyu Qin
Land 2025, 14(7), 1493; https://doi.org/10.3390/land14071493 - 18 Jul 2025
Viewed by 845
Abstract
Target 3 of the Kunming-Montreal Global Biodiversity Framework commits nations to protecting and conserving at least 30% of the world’s terrestrial and inland water areas and coastal and marine areas by 2030 (30 × 30). There can be significant overlap with Indigenous and [...] Read more.
Target 3 of the Kunming-Montreal Global Biodiversity Framework commits nations to protecting and conserving at least 30% of the world’s terrestrial and inland water areas and coastal and marine areas by 2030 (30 × 30). There can be significant overlap with Indigenous and traditional territories (ITTs) and protected areas. We explore if and/or how ITTs are currently recognized and reported as contributors to national protection targets by analyzing whether these territories are counted as standalone conservation areas, integrated into government-led protected and conserved area networks or systems, or neither, in 18 countries. Our analysis reveals critical linkages between tenure regimes, ITTs and their recognition in reporting to global area-based conservation databases. Legal recognition of tenure rights, particularly ownership and stewardship rights, emerged as the strongest predictor of whether ITTs are formally being accounted for in these databases. Our findings also reveal that the contribution of ITTs to national protection targets not only depend on tenure type but also on governance rights, despite the way it is reported. We categorize systemic barriers and opportunities that have implications for the contribution of ITTs to 30 × 30 goals. Full article
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11 pages, 274 KB  
Essay
Connecting the Dots: Applying Network Theories to Enhance Integrated Paramedic Care for People Who Use Drugs
by Jennifer L. Bolster, Polly Ford-Jones, Elizabeth A. Donnelly and Alan M. Batt
Systems 2025, 13(7), 605; https://doi.org/10.3390/systems13070605 - 18 Jul 2025
Viewed by 939
Abstract
The evolving role of paramedics presents a unique opportunity to enhance care for people who use drugs, a population disproportionately affected by systemic barriers and inequities. In fragmented healthcare systems, paramedics are well-positioned to improve access through initiatives such as social prescribing and [...] Read more.
The evolving role of paramedics presents a unique opportunity to enhance care for people who use drugs, a population disproportionately affected by systemic barriers and inequities. In fragmented healthcare systems, paramedics are well-positioned to improve access through initiatives such as social prescribing and harm reduction. This theory-driven commentary explores how Network Theory and Actor Network Theory provide valuable theoretical underpinnings to conceptualize and strengthen the integration of paramedics into care networks. By emphasizing the centrality of paramedics and their connections with both human and non-human actors, these theories illuminate the relational dynamics that influence effective care delivery. We argue that leveraging paramedics’ positionality can address gaps in system navigation, improve patient outcomes, and inform policy reforms. Future work should examine the roles of other key actors, strengthen paramedic advocacy, and identify strategies to overcome barriers to care for people who use drugs. Full article
(This article belongs to the Section Systems Theory and Methodology)
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