Impact of urban atmospheric environment on hospital admissions in the elderly

OBJECTIVE: To analyze the impact of intra-urban atmospheric conditions on circulatory and respiratory diseases in elder adults. METHODS: Cross-sectional study based on data from 33,212 hospital admissions in adults over 60 years in the city of São Paulo, southeastern Brazil, from 2003 to 2007. The association between atmospheric variables from Congonhas airport and bioclimatic index, Physiological Equivalent Temperature, was analyzed according to the district's socioenvironmental profile. Descriptive statistical analysis and regression models were used. RESULTS: There was an increase in hospital admissions due to circulatory diseases as average and lowest temperatures decreased. The likelihood of being admitted to the hospital increased by 12% with 1ºC decrease in the bioclimatic index and with 1ºC increase in the highest temperatures in the group with lower socioenvironmental conditions. The risk of admission due to respiratory diseases increased with inadequate air quality in districts with higher socioenvironmental conditions. CONCLUSIONS: The associations between morbidity and climate variables and the comfort index varied in different groups and diseases. Lower and higher temperatures increased the risk of hospital admission in the elderly. Districts with lower socioenvironmental conditions showed greater adverse health impacts.

The aplication of land use and nighttime lights on the development of high-resolution emission inventories for South America

In this paper, nighttime light data are suggested as a proxy for spatial distribution of vehicles running in urban and nearby areas. Nighttime lights focus on human activities, in contrast to traditional Earth observing systems that focus on natural systems. It is the human activity being visible in the form of brightness of nocturnal lights. Two available nighttime lights dataset were used in this work. The first one was provided by the U.S. Air Force Defense Meteorological Satellite Program (DMSP) Operational Linescan System (OLS), henceforth, DMSO-OLS. The second one is the NASA-NOAA Suomi National Polar-orbiting Polar-orbiting Partnership (NPP) satellite, henceforth, Suomi-NPP. To validate the new proposed methodology, hundreds of urban areas of South America were analyzed in a high degree of resolution. The results of this study showed that night-time lights are very well correlated with vehicle fleet, population, and impervious surfaces but with strong spatial variability. The results of this study suggest a better understanding of the human activities in the context of a vehicular-based city conception.

Heat island simulations in Londrina city, Brazil

This work aims to study the urban heat island on North region of Parana state, Brazil and the influence of land use and urban settlements on the intensity and frequency of occurrence of these events. Through atmospheric modeling whith WRF/Chem model two simulations were made with different land and use files, one with the original land use another obtained from a composition of MODIS-Landsat imagery. The simulations showed good skills compared to observed data. Urban areas presented higher temperatures. Landsat land use has represented better urban heat islands (UHI), the gradient between urban and rural areas was well demonstrated and the correlation coefficient was above 0.92. The model underestimated the maximum values and overestimated the minimum compared with observed data in both simulations.

Air quality simulations for Londrina region, Brazil

The objective of this work were apply and provide a preliminary evaluation of the Weather Research and Forecasting model coupled with Chemistry (WRF-Chem) performance, for Londrina region. We performed comparison with measurements obtained in meteorological stations. The model was configured to run with three domains with 27,9 and 3 km of grid resolution, using the ndown program and also was realized a simulation with the model configured to run with a single domain using a land use file based in a classified image for region of MODIS sensor. The emission files to supply the chemistry run were generated based in the work of Martins et al., 2012. RADM2 chemical mechanism and MADE/SORGAM modal aerosol models were used in the simulations. The results demonstrated that model was able to represent coherently the formation and dispersion of the pollution in Metropolitan Region of Londrina and also the importance of using the appropriate land use file for the region.

Temperatura corporal, índice Aldrete e Kroulik e alta do paciente da Unidade de Recuperação Pós-Anestésica

A alta do paciente da recuperação pós-anestésica (RPA) depende, dentre outros fatores, do retorno à normotermia e do escore alcançado pelo Índice de Aldrete e Kroulik. Sendo assim, o objetivo deste estudo foi verificar a relação entre o Índice de Aldrete e Kroulik e a temperatura corporal dos pacientes. O local de pesquisa foi o Hospital Universitário da Universidade de São Paulo. O cálculo amostral foi determinado por conveniência e foi constituído por 60 pacientes, entre 18 e 60 anos, submetidos à anestesia geral. Foram verificados a temperatura corporal na região timpânica e o Índice de Aldrete e Kroulik do paciente na recepção e alta da recuperação pós-anestésica. Os dados obtidos foram processados pelo pacote estatístico SPSS, com um nível de 5% de significância, e aplicaram-se o teste de Spearman e o teste de Wilcoxon. Conclui-se que não houve correlação significativa entre os dois parâmetros indicativos de alta.