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[Epistaxis and climatic events].

Data concerning daily climatic conditions in the area of Perugia during 1987-1990 have been gathered and correlated to daily incidence of idiopathic nose-bleeding observed in the same area and during the same period (1064 patients on the whole). The aim was to verify the relation between climatic events and "epistaxis" phenomenon, relation that has been assumed since a long time but has never been scientifically demonstrated before. Following factors have been estimated: highest and lowest daily temperature, thermal gradient, atmospheric pressure and pressure gradient, relative humidity. Results of statistic correlations show that every climatic factors has a narrow range related to higher incidence of epistaxis and that nose-bleeding is likely conditioned by combination of critical values, as a low temperature with 4 degrees C daily gradient, a 716 mm Hg atmospheric pressure with 2 mm Hg negative gradient, a close to 100% relative humidity.

Adolescent↗

[Possibilities for a reduction of long-term steroid treatment in asthmatic children during a stay in northsea climate (author's transl)].

1. 40 children with Asthma bronchiale under long-term Cortisone therapy were admitted as in-patients of a clinic in the climate of the Northsea. 37 children needed Cortisone therapy because of serious attacks of Asthma bronchiale, and 3 children because of disturbing neurodermitis constitutionalis. -- 2. Corticoids were discontinued abruptly, immediately after admission. a) In 34 children the discontinuation had no adverse effect the following 6 to 8 weeks, or even longer, there was no need for Cortisone therapy. b) In 4 children during the first 2 weeks and in 2 further children during the 5th or 6th week, the asthmatic disorder deteriorated to such a degree that Cortisone therapy had to be re-introduced. -- 3. On the base of the reported observation, it is concluded that under the conditions of the Northsea climate it is of advantage for children with Asthma bronchiale and Neurodermitis to discontinue abruptly Cortisone therapy because a) this type of therapy which involves the potential risk of unwanted side effects can be shortened and b) the specific positive effect of climatic changes during the first couple of weeks is utilized to a greater extent. The gradual reduction of steroid therapy would diminish this particular stimulation. However, this kind of treatment requires close clinical observation to anticipate an acute "Addison-Crises". -- 4. All children with serious dispuce already during the first days of their stay in the clinic clearly need continuation of steroid therapy. -- Otherwise, even previous steroid therapy for more than one year is no contradiction for the recommended procedure as long as the clinical condition of the patient allows for it.

Adolescent↗

Climate-dependent genetic variation of alpha-2HS-glycoprotein.

We studied the possible effects of climatic factors on the world distribution of alleles determining alpha 2-HS-glycoprotein (AHSG) phenotypes in human populations. New data on AHSG polymorphism in certain ethnic groups of Russia are presented. All available data on the distribution of AHSG gene frequencies in the world (number of populations n = 51) were used to analyze possible correlations between AHSG*2 allele frequencies and seven climatic-geographic parameters. A strong positive correlation was found between AHSG*2 allele frequency and geographic latitude of territories inhabited by the study populations (r = 0.814). The dependence of the AHSG*2 allele distribution in the world on the intensity of ultraviolet radiation (400-315 nm) was estimated at r = -0.826. Such climatic characteristics as the total amount of insolation and the average annual temperature proved to make equal contributions to variation in AHSG*2 allele frequency (r = -0.683 and -0.658, respectively). A computer cartographic model of the AHSG*2 allele distribution in the Old World populations of the Northern Hemisphere was constructed.

Alleles↗

[Cyclic processes in the dynamics of the population count of the taiga tick and their relation to weather and climatic conditions].

The paper continues the discussion of published materials on the dynamic of Ixodes persulcatus number in mountain forests of the central part of the Krasnoyarsk region during 1958-1990 (Korotkov e. a., 1992). An unstationarity and polycyclicity of examined processus is confirmed. It is shown, that long-term and middle-term quasi-periodical fluctuations of the tick number are determined by successive changing in forest biocenoses going under the influence of respective fluctuations of the climate. The synchronization of climatic and biocenotic processes is complicatedly organized in time and is not indicated phenomenologically. Certain quasi-periodical components in their indices of the tick number and climate are quite different by their amplitude, value of phase displacement, and longevity of terms. However, these structural differences are natural and determined by peculiarities of the response reaction of I. persulcatus to different intensivity of acting factor. This reaction under extreme environment conditions, both minimal and maximal ones, leads to the same result, the decreasing of the vital activity and the tick number.

Animals↗

[Effect of the approximately 2400-year solar climatic cycle on the lives of peoples].

2400-year solar cycle ascertained by us in the long-term series of various natural characteristics (e.g. the radiocarbon content in samples of well-known ages, oscillations of the sea and ocean levels etc.) includes three parts roughly equal in duration: a phase of high activity, a phase of depression and a phase of moderate activity. In climate oscillations, which are connected with this cycle, the next phenomena are established: a little climatic optimum, a little Ice Age, and a temperate climate epoch.

Climate↗

[Role of climatic factors in the etiology of vascular diseases].

While there is no doubt about the role of genetic factors in the aetiology of vascular diseases, especially in the genesis of disorders of the venous system, a place should be reserved for climatic and social factors. By means of an investigation which we undertook in a tropical environment in senegal, we examined the morbidity due to atheromatous disease. This study extended over a period of 30 years, from 1945 to 1975. We found that arteriopathy of the lower limbs due to overload did not exist before 1960. Since 1966, a few cases of myocardial infarction have been noted, and since 1970, a few cases of arteriopathy. These cases are confined to an urban environment which, during the same period, has undergone profound social upheavals. It all seems to be as if there were competition between climatic factors protecting and social factors aggravating. In contrast to the rarity of vascular disorders in hot countries is their high incidence in cold countries. In Canada and Sweden a particular clinical aspect of the disorder has been found: arteriopaths in a subarctic environment suffer more than sensory disturbances than ischaemia. In conclusion, it seems that the environment, in the broad sense of the term, plays a role in the aetiology of atheromatous disease, which has been classified, not without reason, among the diseases of civilization.

Arteriosclerosis↗

Self-esteem and self-efficacy; perceived parenting and family climate; and depression in university students.

This study examined associations among self-esteem and self-efficacy; perceived unfavorable Parental Rearing Style (perceived PRS) and unfavorable family climate in the family of origin; and depression in undergraduates still in frequent contact with their families (N = 186). Unfavorable perceived PRS and family climate were construed as "affectionless control," in which parents and family provide little affection, but excessive control. Constructs were measured by the Self-Esteem Inventory, the Self-Efficacy Scale, the Child Report of Parental Behavior Inventory, the Family Environment Scale, and the Beck Inventory. Perceived "affectionless control" in both PRS and family climate accounted for about 13% of the variance in self-esteem, self-efficacy, and depression. Neither introversion nor depression mediated the relation between family socialization and self-esteem.

Adolescent↗

Group supervision in psychotherapy: the relationship between focus, group climate, and perceived attained skill.

This study examined supervisees and supervisors' view on focus and group climate in group supervision and their relationship with supervisees' attained skill. After supervision, supervisees completed a revised version of Buckley's measure of psychotherapeutic skill. Supervisees and supervisors' experience of focus and climate in the supervision was measured with a questionnaire, Topics and Climate (TAC). The results showed that supervisors' ratings of the extent to which different foci were used in the supervision were significantly higher compared to supervisees' ratings. Hierarchical regression analysis showed that differences in supervisor style were related to supervisees' experience of attained skill. Supervisees' experience of the degree to which focus in supervision was on psychodynamic processes was positively related to perceived attained skill, whereas focus on Theoretical aspects was negatively related. These findings underline the importance of research work with topics and group processes in group supervision.

Adult↗

Ecologically relevant stress resistance: from microarrays and quantitative trait loci to candidate genes - a research plan and preliminary results using Drosophila as a model organism and climatic and genetic stress as model stresses.

We aim at studying adaptation to genetic and environmental stress and its evolutionary implications at different levels of biological organization. Stress influences cellular processes, individual physiology, genetic variation at the population level, and the process of natural selection. To investigate these highly connected levels of stress effects, it is advisable - if not critical - to integrate approaches from ecology, evolution, physiology, molecular biology and genetics. To investigate the mechanisms of stress resistance, how resistance evolves, and what factors contribute to and constrain its evolution, we use the well-defined model systems of Drosophila species, representing both cosmopolitan species such as D. melanogaster with a known genome map, and more specialized and ecologically well described species such as the cactophilic D. buzzatii. Various climate-related stresses are used as model stresses including desiccation, starvation, cold and heat. Genetic stress or genetic load is modelled by studying the consequences of inbreeding, the accumulation of (slightly) deleterious mutations, hybridization or the loss of genetic variability. We present here a research plan and preliminary results combining various approaches: molecular techniques such as microarrays, quantitative trait loci (QTL) analyses, quantitative PCR, ELISA or Western blotting are combined with population studies of resistance to climatic and genetic stress in natural populations collected across climatic gradients as well as in selection lines maintained in the laboratory.

Adaptation, Physiological↗

Seasonality in pediatric asthma admissions: the role of climate and environmental factors.

BACKGROUND: Population-based data from Taiwan are used to examine seasonality in pediatric asthma admissions (proxy for asthma exacerbations) and associations with air pollutants and climatic factors. Monthly admission rates per 100,000 population, classified into three age groups, 0 approximately 2, 2 approximately 5, and 6 approximately 14 years (calculated from a total of 27,275 hospitalizations during 1998-2001) were subjected to autoregressive integrated moving average (ARIMA) modeling to examine seasonality. Spearman rank correlations were used to examine associations with criterion air pollutants (PM(10), SO(2), CO, O(3), NO(2)) and meteorological factors (ambient temperature, relative humidity, atmospheric pressure, rainfall, and sunshine hours). RESULTS: Both seasonality and associations with air pollutants and climate factors vary by age group. Among under-twos, the rates are lowest in January-February and highest in November, with a trough in June-July. Among preschoolers, the rates are lowest in June-July and highest in November, with two upsurges in August and March. Among school-goers, admission rates are lowest during June-August, with upsurges in March and September. The number of weather and pollutant predictors increases with age. Among under-twos, only two factors, PM(10) and rainfall, significantly predict admissions. For preschoolers, five factors (PM(10), CO, O(3), temperature, and pressure), and for school-goers, all air pollutants except NO(2,) and all climatic factors except rainfall are significant. CONCLUSION: Seasonality in pediatric asthma admissions vary by age in a subtropical island setting.

Adolescent↗

Democratic school climate and sense of community in school: a multilevel analysis.

This study examines individual- and school-level predictors of sense of community in school among adolescents. Hierarchical linear modeling was used to examine the relationships between individual (demographics, control and monitoring by parents, and perception of democratic school climate), class, and school characteristics (mean democratic school climate, demographics, activities, school size, public/private governance of the school, and facilities) and students' sense of community in the school. Data were analyzed using a three-level model based on 4,092 10- to 18-year-old students nested within 248 classes (across three grade levels: 6th, 8th, and 10th grade level, where the median age was 11, 13, and 15, respectively) in 134 schools in the Veneto region of northeast Italy. Individual and contextual measures of the perception of a democratic school climate, modeled at the individual, class, and school levels simultaneously, were each significant predictor of school sense of community. More parental monitoring and less parental control were also predictive at the individual level. School-level SES predicted between school variation in sense of community, controlling for individual student SES and other student and school-level predictors. School size, facilities (physical spaces resources), level of interaction of the school with the community, public, or private governance, and number of extracurricular activities offered were all nonsignificant. The study demonstrates significant variation in school sense of community at the student, class, and school levels and the important role played by democratic school practices, such as student participation in making rules and organizing events, freedom of expression, and the perceived fairness of rules and teachers, in determining this variable.

Adolescent↗

Forest responses to tropospheric ozone and global climate change: an analysis.

In this paper an analysis is provided on: what we know, what we need to know, and what we need to do, to further our understanding of the relationships between tropospheric ozone (O(3)), global climate change and forest responses. The relationships between global geographic distributions of forest ecosystems and potential geographic regions of high photochemical smog by the year 2025 AD are described. While the emphasis is on the effects of tropospheric O(3) on forest ecosystems, discussion is presented to understand such effects in the context of global climate change. One particular strong point of this paper is the audit of published surface O(3) data by photochemical smog region that reveals important forest/woodland geographic regions where little or no O(3) data exist even though the potential threat to forests in those regions appears to be large. The concepts and considerations relevant to the examination of ecosystem responses as a whole, rather than simply tree stands alone are reviewed. A brief argument is provided to stimulate the modification of the concept of simple cause and effect relationships in viewing total ecosystems. Our knowledge of O(3) exposure and its effects on the energy, nutrient and hydrological flow within the ecosystem are described. Modeling strategies for such systems are reviewed. A discussion of responses of forests to potential multiple climatic changes is provided. An important concept in this paper is that changes in water exchange processes throughout the hydrological cycle can be used as early warning indicators of forest responses to O(3). Another strength of this paper is the integration of information on structural and functional processes of ecosystems and their responses to O(3). An admitted weakness of this analysis is that the information on integrated ecosystem responses is based overwhelmingly on the San Bernardino Forest ecosystem research program of the 1970s because of a lack of similar studies. In the final analysis, it is recommended that systems ecology be applied in examining the joint effects of O(3), carbon dioxide and ultraviolet-B radiation on forest ecosystems.

Journal Article↗

Agriculture's share in the emission of trace gases affecting the climate and some cause-oriented proposals for sufficiently reducing this share.

This paper discusses agriculture's share in the world-wide emissions of climate-affecting gases and in the global warming potential (GWP). Proposals also are presented to reduce these emissions adequately, using a cause-oriented approach. Largely due to the fertilization and cultivation of agriculture as well as the burning of biomass, agriculture has a very high share in the anthropogenic emissions of NH(3), N(2)O, CH(4) and CO at >95%, 81%, 70% and 52%, respectively, while its share in the NO(x) and CO(2) emissions is relatively small at 35% and 21%. The GWP of agriculture, based on annually 16.1 x 10(9) tons of CO(2), approaches 63% of the GWP of the energy sector or 80% of the GWP of its CO(2) emissions. At 34% and 32%, respectively, the main originators in the GWP of agriculture would seem to be CO(2) (changing land use) and CH(4) (animal husbandry/rice cropping/biomass burning) followed at 15% by NO(2) (technical and biological N fixation/(cultivation and recultivation/biomass burning) and 10% and 9% by CO and NO(x). The GWP of 3 German dairy cows corresponds with 13.2 tonnes CO(2) per year the GWP of two average German automobiles. However, the ozone-destroying effect of N(2)O and the climate-relevant effects of NH(3) are not yet included here. As with the therapy for other 'modern' boundary-crossing environmental damages, such as acidification or eutrophication, global climate change therapy likewise needs a therapy for the respective effects of reactive compounds of carbon, nitrogen, phosphorous, and sulfur also emitted by agriculture. Proposals for reducing these emissions within the agricultural sector include need-oriented plant, animal and human nutrition, more efficient external and internal nutrient recycling, the cessation of further clearing by burning, along with intensified afforestation mainly in the tropics, targeted measures to reduce nutrient losses/emissions, and measures for more efficient use of nutrients in plant, animal and human nutrition. These measures would at best result in reduced pollution of the global environment but not put it to an end. Decisive, therefore, is both the tolerable extent of mankind and its long-term sustainable way of life.

Journal Article↗

Analysis and prediction of global climate temperature change based on multiforced observational statistics.

The response of the climate system to increasing greenhouse gases was simulated by a number of climate model projections. There is an urgent need to verify or falsify these projections against observational climate data. Therefore, in this contribution, surface air temperature data are considered covering on a global average the period 1861-1990 and on a northern hemisphere average 1670-1990 (including proxy data). Based on a multiple correlation and coherence analysis a regression model is evaluated which is simultaneously forced by the observed or reconstructed atmospheric CO(2) or equivalent CO(2) concentration increase, volcanic activity, solar variations, and the ENSO (El Niño/southern oscillation) mechanism including phase shifts between cause and effect. This model reveals a greenhouse-gas-induced mean global temperature rise of 0.6-0.8 K since preindustrial time (c. 1800-1990). Following the IPCC business-as-usual scenario (trend extrapolation) this would lead to a hypothetical 3.8 K temperature rise in 2100 (best estimate, uncertainty + 0.7/-0.4 K compared to the 1985 value.

Journal Article↗

Climate change: potential effects of increased atmospheric carbon dioxide (CO2), ozone (O3), and ultraviolet-B (UV-B) radiation on plant diseases.

Continued world population growth results in increased emission of gases from agriculture, combustion of fossil fuels, and industrial processes. This causes changes in the chemical composition of the atmosphere. Evidence is emerging that increased solar ultraviolet-B (UV-B) radiation is reaching the earth's atmosphere, due to stratospheric ozone depletion. Carbon dioxide (CO(2)), ozone (O(3)) and UV-B are individual climate change factors that have direct biological effects on plants. Such effects may directly or indirectly affect the incidence and severity of plant diseases, caused by biotic agents. Carbon dioxide may increase plant canopy size and density, resulting in a greater biomass of high nutritional quality, combined with a much higher microclimate relative humidity. This would be likely to promote plant diseases such as rusts, powdery mildews, leaf spots and blights. Inoculum potential from greater overwintering crop debris would also be increased. Ozone is likely to have adverse effects on plant growth. Necrotrophic pathogens may colonize plants weakened by O(3) at an accelerated rate, while obligate biotroph infections may be lessened. Ozone is unlikely to have direct adverse effects on fungal pathogens. Ozone effects on plant diseases are host plant mediated. The principal effects of increased UV-B on plant diseases would be via alterations in host plants. Increased flavonoids could lead to increased diseased resistance. Reduced net photosynthesis and premature ripening and senescence could result in a decrease in diseases caused by biotrophs and an increase in those caused by necrotrophs. Microbial plant pathogens are less likely to be adversely affected by CO(2), O(3) and UV-B than are their corresponding host plants. Changes in host plants may result in expectable alterations of disease incidence, depending on host plant growth stages and type of pathogen. Given the importance of plant diseases in world food and fiber production, it is essential to begin studying the effects of increased CO(2), O(3) and UV-B (and other climate change factors) on plant diseases. We know very little about the actual impacts of climate change factors on disease epidemiology. Epidemiologists should be encouraged to consider CO(2), O(3) and UV-B as factors in their field studies.

Journal Article↗

A seasonal variation in the onset of postoperative adhesive small bowel obstruction is related to changes in the climate.

BACKGROUND: Postoperative small bowel obstruction following abdominal procedures is more common in patients who have undergone laparotomy. However, little is known about the influence of climate on the incidence of postoperative small bowel obstruction. METHODS: To evaluate whether seasonal climatic variations are a risk factor for postoperative small bowel obstruction, hospital-based, retrospective case series was designed from medical records of 230 patients suffering from postoperative small bowel obstruction admitted to the Tokyo University Branch Hospital. Detailed analysis of weather charts from the Japanese Meteorological Agency and review of medical records for selected patients who were diagnosed with postoperative small bowel obstruction. The obstruction was diagnosed by abdominal X-ray imaging, clinical examination, and patient interviews. RESULTS: A total of 233 patients diagnosed with postoperative small bowel obstruction were identified. Analysis of the medical records of these 233 patients revealed that the variables associated with an increased risk of postoperative small bowel obstruction included low ambient temperatures of 5-10 degrees C, an increase in air humidity by 40-50% and air pressure of 1010-1015 hPa. CONCLUSION: The typical winter weather in Tokyo is characterised by low temperatures, low humidity and moderate air pressure. These winter climate conditions could be correlated with an increased incidence of postoperative small bowel obstruction in Tokyo during our period.

Adolescent↗

An empirical investigation of safety climate in container terminal operators.

INTRODUCTION: This study empirically evaluates the crucial dimensions of safety climate from a container terminal operator's perspective, specifically in the Port of Kaohsiung. METHOD: Seven safety climate dimensions are identified based on factor analysis: (a) supervisor safety, (b) job safety, (c) coworkers' safety, (d) safety management, (e) safety training, (f) safety rules and special safety training, and (g) job pressure. Cluster analysis is subsequently performed to form worker groups. Respondents are categorized into four groups on the basis of their factor scores in safety climate dimensions: (a) safety management oriented terminal operators, (b) safety training and management oriented terminal operators, (c) job safety and supervisor safety oriented terminal operators, and (d) coworkers' safety oriented terminal operators. RESULTS: Results indicate that safety training and management oriented terminal operators have the best safety performance, followed by safety management oriented terminal operators, job safety and supervisor safety oriented terminal operators, and coworkers' safety oriented terminal operators. Theoretical and practical implications of the research findings are discussed.

Accident Prevention↗

Direct and spillover hospitalisation patterns during climate hazards across regions of different health-system resilience levels in China: a nationwide retrospective analysis.

BACKGROUND: Health-system resilience serves as a key contributor in mitigating adverse health impacts during climate hazards. However, quantitative insights into resilience-associated health-care utilisation patterns and targeted adaptation policies remain scarce. We aimed to capture the spatiotemporal health impacts in disaster-exposed counties and their neighbouring counties in China during storms, floods, tropical cyclones, and blizzards or winter storms; understand the association between health-system resilience metrics and hazard-attributable hospitalisations; and develop evidence-based adaptation policies towards climate extremes. METHODS: In this retrospective, observational analysis of county-level aggregated hospitalisation data, we used a propensity score matching-difference-in-differences framework to assess the spatiotemporal changes of nine types of disease-specific hospitalisations in both disaster-exposed and neighbouring regions during storms, floods, tropical cyclones, and blizzards in China. We quantified the relative importance and health gains of health-system metrics during such hazards through random forest approach with interpretable partial dependence plots to derive evidence-based adaptation recommendations. FINDINGS: We included hospitalisation data from Jan 1, 2016 to Dec 31, 2023. In this period, 3241 county-hazard event combinations and 41 747 482 hospitalisations were recorded across 955 Chinese counties. The disaster-exposed regions experienced an initial decline in hospitalisation rates, followed by admission surges after disasters. For example, infectious disease admissions decreased by 11·92% (95% CI -10·53 to -13·31) during the flood-active period but increased by 7·68% (6·46-8·91) after 1-2 weeks of floods. Neighbouring zones were also affected through spillover effects, with infectious disease admissions increasing by 3·18% (1·76-4·61) after 1-2 weeks of the floods. Cardiovascular disease, injuries, infectious, respiratory, and mental disorders were more sensitive across all regions. Particularly for disaster-exposed counties, cardiovascular hospitalisations increased by 14·31% (7·34-21·29) during the tropical cyclone-active period. Notably, compared with low-resilience counties, high-resilience counties were associated with 19·48-30·03% smaller hazard-related relative changes in hospitalisation rates during the hazard-active period and 27·07-31·08% smaller hazard-related relative changes in hospitalisation rates in post-hazard periods. For instance, during the storm-active period, the increase in respiratory hospitalisations was 7·21% (0·67-13·75) in high-resilience counties versus 12·13% (5·20-19·05) in low-resilience counties. Health workforce (relative importance 14·58% during the hazard-active period and 13·80% during the post-hazard period) and service delivery (14·10% during the hazard-active period and 14·17% during the post-hazard period) were identified as key contributors of health-system resilience. Empirical synergistic effects were observed when combining interventions during the post-hazard period, with the combined effect of service delivery (individual contribution 8%) and workforce (individual contribution 4%) exceeding the sum of their individual contributions (16% reduction in cumulative excess admissions) by 33%. INTERPRETATION: Climate hazards are associated with substantial changes in hospitalisation rates in both disaster-exposed and neighbouring regions. Health-system resilience is essential in addressing disaster-health challenges. Targeted adaptation interventions should be context-appropriate and threshold-aware, thereby maximising the public health benefits relative to resilience-oriented investments in health systems. FUNDING: Gates Foundation and the National Natural Science Foundation of China.

Journal Article↗