Excess cardiovascular mortality associated with cold spells in the Czech Republic

<p>Abstract</p> <p>Background</p> <p>The association between cardiovascular mortality and winter cold spells was evaluated in the population of the Czech Republic over 21-yr period 1986–2006. No comprehensive study on cold-related mortality in central Europe has been carried out despite the fact that cold air invasions are more frequent and severe in this region than in western and southern Europe.</p> <p>Methods</p> <p>Cold spells were defined as periods of days on which air temperature does not exceed -3.5°C. Days on which mortality was affected by epidemics of influenza/acute respiratory infections were identified and omitted from the analysis. Excess cardiovascular mortality was determined after the long-term changes and the seasonal cycle in mortality had been removed. Excess mortality during and after cold spells was examined in individual age groups and genders.</p> <p>Results</p> <p>Cold spells were associated with positive mean excess cardiovascular mortality in all age groups (25–59, 60–69, 70–79 and 80+ years) and in both men and women. The relative mortality effects were most pronounced and most direct in middle-aged men (25–59 years), which contrasts with majority of studies on cold-related mortality in other regions. The estimated excess mortality during the severe cold spells in January 1987 (+274 cardiovascular deaths) is comparable to that attributed to the most severe heat wave in this region in 1994.</p> <p>Conclusion</p> <p>The results show that cold stress has a considerable impact on mortality in central Europe, representing a public health threat of an importance similar to heat waves. The elevated mortality risks in men aged 25–59 years may be related to occupational exposure of large numbers of men working outdoors in winter. Early warnings and preventive measures based on weather forecast and targeted on the susceptible parts of the population may help mitigate the effects of cold spells and save lives.</p

Syndromic surveillance and heat wave morbidity: a pilot study based on emergency departments in France

<p>Abstract</p> <p>Background</p> <p>The health impacts of heat waves are serious and have prompted the development of heat wave response plans. Even when they are efficient, these plans are developed to limit the health effects of heat waves. This study was designed to determine relevant indicators related to health effects of heat waves and to evaluate the ability of a syndromic surveillance system to monitor variations in the activity of emergency departments over time. The study uses data collected during the summer 2006 when a new heat wave occurred in France.</p> <p>Methods</p> <p>Data recorded from 49 emergency departments since July 2004, were transmitted daily via the Internet to the French Institute for Public Health Surveillance. Items collected on patients included diagnosis (ICD10 codes), outcome, and age. Statistical t-tests were used to compare, for several health conditions, the daily averages of patients within different age groups and periods (whether 'on alert' or 'off alert').</p> <p>Results</p> <p>A limited number of adverse health conditions occurred more frequently during hot period: dehydration, hyperthermia, malaise, hyponatremia, renal colic, and renal failure. Over all health conditions, the total number of patients per day remained equal between the 'on alert' and 'off alert' periods (4,557.7/day vs. 4,511.2/day), but the number of elderly patients increased significantly during the 'on alert' period relative to the 'off alert' period (476.7/day vs. 446.2/day p < 0.05).</p> <p>Conclusion</p> <p>Our results show the interest to monitor specific indicators during hot periods and to focus surveillance efforts on the elderly. Syndromic surveillance allowed the collection of data in real time and the subsequent optimization of the response by public health agencies. This method of surveillance should therefore be considered as an essential part of efforts to prevent the health effects of heat waves.</p

Intra aortic balloon pump: literature review of risk factors related to complications of the intraaortic balloon pump

The increasing use of the intra aortic balloon pump is attributed to the relatively easy percutaneous insertion and the low threshold of use over the past few years, especially in elderly patients with multi-vessel diseases and an affected ejection fraction

A Large Change in Temperature between Neighbouring Days Increases the Risk of Mortality

Background: Previous studies have found high temperatures increase the risk of mortality in summer. However, little is known about whether a sharp decrease or increase in temperature between neighbouring days has any effect on mortality. Method: Poisson regression models were used to estimate the association between temperature change and mortality in summer in Brisbane, Australia during 1996–2004 and Los Angeles, United States during 1987–2000. The temperature change was calculated as the current day’s mean temperature minus the previous day’s mean. Results: In Brisbane, a drop of more than 3 °C in temperature between days was associated with relative risks (RRs) of 1.157 (95% confidence interval (CI): 1.024, 1.307) for total non external mortality (NEM), 1.186 (95%CI: 1.002, 1.405) for NEM in females, and 1.442 (95%CI: 1.099, 1.892) for people aged 65–74 years. An increase of more than 3 °C was associated with RRs of 1.353 (95%CI: 1.033, 1.772) for cardiovascular mortality and 1.667 (95%CI: 1.146, 2.425) for people aged < 65 years. In Los Angeles, only a drop of more than 3 °C was significantly associated with RRs of 1.133 (95%CI: 1.053, 1.219) for total NEM, 1.252 (95%CI: 1.131, 1.386) for cardiovascular mortality, and 1.254 (95%CI: 1.135, 1.385) for people aged ≥75 years. In both cities, there were joint effects of temperature change and mean temperature on NEM. Conclusion : A significant change in temperature of more than 3 °C, whether positive or negative, has an adverse impact on mortality even after controlling for the current temperature

Sediment source fingerprinting: benchmarking recent outputs, remaining challenges and emerging themes

Abstract: Purpose: This review of sediment source fingerprinting assesses the current state-of-the-art, remaining challenges and emerging themes. It combines inputs from international scientists either with track records in the approach or with expertise relevant to progressing the science. Methods: Web of Science and Google Scholar were used to review published papers spanning the period 2013–2019, inclusive, to confirm publication trends in quantities of papers by study area country and the types of tracers used. The most recent (2018–2019, inclusive) papers were also benchmarked using a methodological decision-tree published in 2017. Scope: Areas requiring further research and international consensus on methodological detail are reviewed, and these comprise spatial variability in tracers and corresponding sampling implications for end-members, temporal variability in tracers and sampling implications for end-members and target sediment, tracer conservation and knowledge-based pre-selection, the physico-chemical basis for source discrimination and dissemination of fingerprinting results to stakeholders. Emerging themes are also discussed: novel tracers, concentration-dependence for biomarkers, combining sediment fingerprinting and age-dating, applications to sediment-bound pollutants, incorporation of supportive spatial information to augment discrimination and modelling, aeolian sediment source fingerprinting, integration with process-based models and development of open-access software tools for data processing. Conclusions: The popularity of sediment source fingerprinting continues on an upward trend globally, but with this growth comes issues surrounding lack of standardisation and procedural diversity. Nonetheless, the last 2 years have also evidenced growing uptake of critical requirements for robust applications and this review is intended to signpost investigators, both old and new, towards these benchmarks and remaining research challenges for, and emerging options for different applications of, the fingerprinting approach

Chronology of sediment deposition in Upper Klamath Lake, Oregon

A combination of tephrochronology and 14C, 210Pb, and 137Cs measurements provides a robust chronology for sedimentation in Upper Klamath Lake during the last 45 000 years. Mixing of surficial sediments and possible mobility of the radio-isotopes limit the usefulness of the 137Cs and 210Pb data, but 210Pb profiles provide reasonable average sediment accumulation rates for the last 100–150 years. Radiocarbon ages near the top of the core are somewhat erratic and are too old, probably as a result of detrital organic carbon, which may have become a more common component in recent times as surrounding marshes were drained. Below the tops of the cores, radiocarbon ages in the center of the basin appear to be about 400 years too old, while those on the margin appear to be accurate, based on comparisons with tephra layers of known age. Taken together, the data can be combined into reasonable age models for each site. Sediments have accumulated at site K1, near the center of the basin, about 2 times faster than at site CM2, on the margin of the lake. The rates are about 0.10 and 0.05 cm/yr, respectively. The chronological data also indicate that accumulation rates were slower during the early to middle Holocene than during the late Holocene, consistent with increasing wetness in the late Holocene

Impact of Climate and Parent Material on Chemical Weathering in Loess-derived Soils of the Mississippi River Valley

Peoria Loess-derived soils on uplands east of the Mississippi River the midcontinent of North America (Ruhe, 1969; Hall valley were studied from Louisiana to Iowa, along a south-to-north and Anderson, 2000), Alaska (Muhs et al., 2001), and gradient of decreasing precipitation and temperature. Major element China (Maher et al., 1994). Critical to paleoclimatic interanalyses of deep loess in Mississippi and Illinois show that the composi- pretations, using paleosols, are reliable climofunctions tion of the parent material is similar in the northern and southern for modern soils, which give an understanding of soil parts of the valley. We hypothesized that in the warmer, wetter parts formation as a function of climate, all other factors beof the transect,mineral weathering should be greater than in the cooler, ing equal. drier parts of the transect. Profile average values of CaO/TiO2, MgO/ The importance of climate as a soil-forming factor has TiO2, K2O/TiO2 and Na2O/TiO2, Sr/Zr, Ba/Zr, and Rb/Zr represent proxies for depletion of loess minerals such as calcite, dolomite, horn- been appreciated by pedologists for more than 100 yr, blende, mica, and plagioclase. All ratios show increases from south to startingwithDokuchaev (1883) and emphasized by Jenny north, supporting the hypothesis of greater chemical weathering in (1941, p. 281) 60 yr ago. Since that time, there have been the southern part of the valley. An unexpected result is that profile many soil climosequence studies. Much of the work of average values of Al2O3/TiO2 and Fe2O3/TiO2 (proxies for the relative the past two decades has been summarized recently by abundance of clay minerals) show increases from south to north. This Birkeland (1999, p. 430).One of the most commonly used finding, while contrary to the evidence of greater chemical weathering geologic settings for soil climosequence studies is loess in the southern part of the transect, is consistent with an earlier study that covers a large region and spans gradients of temperwhich showed higher clay contents in Bt horizons of loess-derived ature and precipitation. Such studies have been consoils in the northern part of the transect. We hypothesize that soils ducted in loess-dominated landscapes in China (Maher in the northern part of the valley received fine-grained loess from sources to the west of the Mississippi River valley either late in the et al., 1994), Argentina (Alvarez and Lavado, 1998), last glacial period, during the Holocene or both. In contrast, soils in and New Zealand (Webb et al., 1986). In the USA, soil the southern part of the valley were unaffected by such additions

Batteries for energy storage in transport and stationary applications

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