Hot Summers and Heart Failure: Seasonal Variations in Morbidity and Mortality in Australian Heart Failure Patients (1994-2005)

Background There are minimal reports of seasonal variations in chronic heart failure (CHF)-related morbidity and mortality beyond the northern hemisphere. Aims and methods We examined potential seasonal variations with respect to morbidity and all-cause mortality over more than a decade in a cohort of 2961 patients with CHF from a tertiary referral hospital in South Australia subject to mild winters and hot summers. Results Seasonal variation across all event-types was observed. CHF-related morbidity peaked in winter (July) and was lowest in summer (February): 70 (95% CI: 65 to 76) vs. 33 (95% CI: 30 to 37) admissions/1000 at risk (p<0.005). All-cause admissions (113 (95% CI: 107 to 120) vs. 73 (95% CI 68 to 79) admissions/1000 at risk, p<0.001) and concurrent respiratory disease (21% vs. 12%,p<0.001) were consistently higher in winter. 2010 patients died, mortality was highest in August relative to February: 23 (95% CI: 20 to 27) vs. 12 (95% CI: 10 to 15) deaths per 1000 at risk, p<0.001. Those aged 75 years or older were most at risk of seasonal variations in morbidity and mortality. Conclusion Seasonal variations in CHF-related morbidity and mortality occur in the hot climate of South Australia, suggesting that relative (rather than absolute) changes in temperature drive this global phenomenon.

Heat strain, hydration status, and symptoms of heat illness in surface mine workers

The aim of the research program was to evaluate the heat strain, hydration status, and heat illness symptoms experienced by surface mine workers. An initial investigation involved 91 surface miners completing a heat stress questionnaire; assessing the work environment, hydration practices, and heat illness symptom experience. The key findings included 1) more than 80 % of workers experienced at least one symptom of heat illness over a 12 month period; and 2) the risk of moderate symptoms of heat illness increased with the severity of dehydration. These findings highlight a health and safety concern for surface miners, as experiencing symptoms of heat illness is an indication that the physiological systems of the body may be struggling to meet the demands of thermoregulation. To illuminate these findings a field investigation to monitor the heat strain and hydration status of surface miners was proposed. Two preliminary studies were conducted to ensure accurate and reliable data collection techniques. Firstly, a study was undertaken to determine a calibration procedure to ensure the accuracy of core body temperature measurement via an ingestible sensor. A water bath was heated to several temperatures between 23 . 51 ¢ªC, allowing for comparison of the temperature recorded by the sensors and a traceable thermometer. A positive systematic bias was observed and indicated a need for calibration. It was concluded that a linear regression should be developed for each sensor prior to ingestion, allowing for a correction to be applied to the raw data. Secondly, hydration status was to be assessed through urine specific gravity measurement. It was foreseeable that practical limitations on mine sites would delay the time between urine collection and analysis. A study was undertaken to assess the reliability of urine analysis over time. Measurement of urine specific gravity was found to be reliable up to 24 hours post urine collection and was suitable to be used in the field study. Twenty-nine surface miners (14 drillers [winter] and 15 blast crew [summer]) were monitored during a normal work shift. Core body temperature was recorded continuously. Average mean core body temperature was 37.5 and 37.4 ¢ªC for blast crew and drillers, with average maximum body temperatures of 38.0 and 37.9 ¢ªC respectively. The highest body temperature recorded was 38.4 ¢ªC. Urine samples were collected at each void for specific gravity measurement. The average mean urine specific gravity was 1.024 and 1.021 for blast crew and drillers respectively. The Heat Illness Symptoms Index was used to evaluate the experience of heat illness symptoms on shift. Over 70 % of drillers and over 80 % of blast crew reported at least one symptom. It was concluded that 1) heat strain remained within the recommended limits for acclimatised workers; and 2) the majority of workers were dehydrated before commencing their shift, and tend to remain dehydrated for the duration. Dehydration was identified as the primary issue for surface miners working in the heat. Therefore continued study focused on investigating a novel approach to monitoring hydration status. The final aim of this research program was to investigate the influence dehydration has on intraocular pressure (IOP); and subsequently, whether IOP could provide a novel indicator of hydration status. Seven males completed 90 minutes of walking in both a cool and hot climate with fluid restriction. Hydration variables and intraocular pressure were measured at baseline and at 30 minute intervals. Participants became dehydrated during the trial in the heat but maintained hydration status in the cool. Intraocular pressure progressively declined in the trial in the heat but remained relatively stable when hydration was maintained. A significant relationship was observed between intraocular pressure and both body mass loss and plasma osmolality. This evidence suggests that intraocular pressure is influenced by changes in hydration status. Further research is required to determine if intraocular pressure could be utilised as an indirect indicator of hydration status.

Effect of cold water immersion on repeated cycling performance and limb blood flow

The purpose of the present study was to compare the effects of cold water immersion (CWI) and active recovery (ACT) on resting limb blood flow, rectal temperature and repeated cycling performance in the heat. Ten subjects completed two testing sessions separated by 1 week; each trial consisted of an initial all-out 35-min exercise bout, one of two 15-min recovery interventions (randomised: CWI or ACT), followed by a 40-min passive recovery period before repeating the 35-min exercise bout. Performance was measured as the change in total work completed during the exercise bouts. Resting limb blood flow, heart rate, rectal temperature and blood lactate were recorded throughout the testing sessions. There was a significant decline in performance after ACT (mean (SD) −1.81% (1.05%)) compared with CWI where performance remained unchanged (0.10% (0.71%)). Rectal temperature was reduced after CWI (36.8°C (1.0°C)) compared with ACT (38.3°C (0.4°C)), as was blood flow to the arms (CWI 3.64 (1.47) ml/100 ml/min; ACT 16.85 (3.57) ml/100 ml/min) and legs (CW 4.83 (2.49) ml/100 ml/min; ACT 4.83 (2.49) ml/100 ml/min). Leg blood flow at the end of the second exercise bout was not different between the active (15.25 (4.33) ml/100 ml/min) and cold trials (14.99 (4.96) ml/100 ml/min), whereas rectal temperature (CWI 38.1°C (0.3°C); ACT 38.8°C (0.2°C)) and arm blood flow (CWI 20.55 (3.78) ml/100 ml/min; ACT 23.83 (5.32) ml/100 ml/min) remained depressed until the end of the cold trial. These findings indicate that CWI is an effective intervention for maintaining repeat cycling performance in the heat and this performance benefit is associated with alterations in core temperature and limb blood flow.

Evaluating the effectiveness of heat warning systems : a systematic review of epidemiological evidence

Objectives To review the existing research on the effectiveness of heat warning systems (HWSs) in saving lives and reducing harm. Methods A systematic search of major databases was conducted, using “heat, heatwave, high temperature, hot temperature, OR hot climate” AND “warning system”. Results Fifteen articles were retrieved. Six studies asserted that fewer people died of excessive heat after HWS implementation. HWS was associated with reduction in ambulance use. One study estimated the benefits of HWS to be 468millionforsaving117livescomparedto210,000 costs of running the system. Eight studies showed that mere availability of HWS did not lead to behavioral changes. Perceived threat of heat dangers to self/others was the main factor related to heeding warnings and taking proper actions. However, costs and barriers associated with taking protective actions, such as costs of running air conditioners, were of significant concern particularly to the poor. Conclusions Research in this area is limited. Prospective designs applying health behavior theories should establish whether HWS can produce the health benefits they are purported to achieve by identifying the target vulnerable groups.

Remote detection and distinction of ants using nest-site specific LISS-derived Normalised Difference Vegetation Index

This study in Western Ghats, India, investigates the relation between nesting sites of ants and a single remotely sensed variable: the Normalised Difference Vegetation Index (NDVI). We carried out sampling in 60 plots each measuring 30 x 30 m and recorded nest sites of 13 ant species. We found that NDVI values at the nesting sites varied considerably between individual species and also between the six functional groups the ants belong to. The functional groups Cryptic Species, Tropical Climate Specialists and Specialist Predators were present in regions with high NDVI whereas Hot Climate Specialists and Opportunists were found in sites with low NDVI. As expected we found that low NDVI values were associated with scrub jungles and high NDVI values with evergreen forests. Interestingly, we found that Pachycondyla rufipes, an ant species found only in deciduous and evergreen forests, established nests only in sites with low NDVI (range = 0.015 - 0.1779). Our results show that these low NDVI values in deciduous and evergreen forests correspond to canopy gaps in otherwise closed deciduous and evergreen forests. Subsequent fieldwork confirmed the observed high prevalence of P. rufipes in these NDVI-constrained areas. We discuss the value of using NDVI for the remote detection and distinction of ant nest sites.

鄂尔多斯盆地东部地区奥陶系马家沟组沉积相与储层特征研究

Ordos Basin is one of the primary bases for petroleum exploration in our country. A series of Ordovician large gas fields were discovered, which suggest that the Lower Paleozoic carbonate, especiallly for Ordovician carbonate rocks, preserve plenty of hydrocarbon resources. Well Longtong 1 is studied as the typical exploration well. Acorrding to the specific research on the type of lithology, texture, structure and sedimentary sequence in Ordovician Majiagou Formation as well as additional data from another 20 wells, the sedimentary model has been built in Majiagou Formation. The sedimentary characteristics for each Member in Majiagou Formaiton and the feature of distribution are well understood as below: It suggests that period of Member 1, Member 3 and Member 5 in Majiagou Formation characterize with dry and hot climate as well as drop of the sea level. The area of Well Longtan 1 in the eastern basin is abundant of platform evaporite lithofacies with the depositional anhyrock and salt rock, whereas yield a suite of dolomite intercalated by the thin layers of anhyrock from the anhyrcok-dolomite platform sediment. It deposits muddy dolomite, dolomitic limestone and fine-grain dolomite in limestone-dolomite platform and restricted sea. During the stage of Member 2 and Member 4 in Majiagou Formation, the climate is wet and hot with increasing sea level. The study region occurs limestone with little dolomite in the open sea environment; but the margin area is the restricted sea settings with interbeding dolomite and limestone. Based on the thin section identification, element and isotope analysis as well as the study of texture and structure, it sugguests that the main reserviors are dolomite while the gypsum are major cap rocks. The Member 2 in Majiagou Formation is both the source rocks and the resveroirs; gypsum rocks widely occur in Member 3 as the better cap; similar to the Member 2, the Member 4 in Majiagou Formation is both the source rocks and the resveroirs; there are two source-reservoir-cap assemblages in the Member 5 alone and the cap is gypsum with high quality and great thickness, which is a favorite source-reservoir-cap assemblage.

湛江湖光岩玛珥湖55ka以来植硅体化石记录及古环境变迁

The study of biogenic proxy of tropical and subtropical regions provides important evidence about the process and history of vegetation and environmental changes, and is of globally importance for understanding the dynamic mechanism of paleoclimatic and paleoenvironmental changes. The sediments from the Huguangyan Maar lake in Guangdong Province offer a continuous high-resolution record of the past 55 ka about environmental and vegetational changes. The studies of chronology, and physical, chemical environmental proxies have provided much important information about the paleoenvironmental and paleoclimatic histories. The phytolith, a new biogenicl proxy, has been used to determine the nature and types of plants in this area since the last 55 ka. This study presents a preliminary result about the characteristics of phytolith shapes, the variations of the fossils assemblages, and their significance for environmental changes. Moreover, the author probes the process of special specie evolution and their relationship to climatic parameters. The history of fire has been reconstructed based on the variations in charcoals. The main results and conclusions include: 28 types of phytoliths from 233 samples have been identified. Their environmental meanings are investigated in detail. Based on the variations in phytolith associations, the history and process of climatic and environmental changes in the last 55 kaBP have been established for this region. Climatic changes experienced eight intervals during this period, showing the variations of hot-humid to cool-try climate in the ten thousands years scale, and a shorter dry-hot climate condition in millennial scale. The history of palm plant has been established in this region. Two peaks appeared from 55-39 ka and since the Holocene. Plants in Bambusoideae have been growing in this area all the period, representing the impact of the East Asian summer monsoon. Bamboo plants have similar tendency in their abundance to palm plants, but with a lag of 1-2 ka BP. Panicoideae plants, the representative of C4 plants, have 6 flourishing periods occurred at 54.5, 44, 41.5, 32.5, 14, and 10 kaBP, respectively, reflecting 6 times short-term arid events. Charcoal record from the Huguang Marr lake reveals the history of nature fire, that mostly happened in dry period of last glacial from 55-10 kaBP, centered at 50-45, 40-35, 30-25, and 20-15kaBP, showing about a cycle of 10,000 years.

元谋地区晚新生代河湖相沉积物磁性地层学及古环境研究

Yuanmou area lies on the southeastern edge of the Tibetan Plateau, the middlesegment of Yunnan-Sichuan North-South Extending Tectonic Belt and the upper reaches of the Yangztze River, which is renowned for its thick late Cenozoic fluvial-lacustrine sequences that yield rich mammalian fossils including hominoid and early human. The sediments provides great potentials for understanding the relationships between uplift of the Tibetan Plateau, evolution of hominoids and other mammalian and evolution and formation of basins in Southwest China since late Miocene. However, lithostratigrphic and chronologic views on them are controversial and hinder further discussion of the relationships of them. To this end, we selected the Baozidongqing section and the Dapoqing section to carry out systematic lithostratigraphic, magnetostratlgraphic and environmental magnetism researches in this area.The Baozidongqing section was dated to about 10.95-7.17 Ma. The age estimation of the topmost hominoid-bearing layer was about 7.43-7.17 Ma. Rock magnetic results show that the dominant magnetic carrier is hematite, with minor amount of magnetite. Both the composition and concentration of magnetic minerals strongly correlate with the lithostratigraphy, indicating that Yuanmou basin is characterized by alternating of long-term torrid-humid climate and short-term dry-hot climate. But the pattern of these short-term hot-dry events, including both the lasting time and the frequency of their occurrence dramatically changed since -8.1 Ma. Our results infer that the drying process of the Asian west interior and a significant uplift of the Tibetan Plateau would have probably caused jointly the extinction of hominoids, or the emigration of hominoids from Yuanmou to adjacent relatively torrid-humid areas.The strata between the upper of the Dapoqing section, the Niujianbao Hill and Shangnabang area can be linked by three mark layers of conglomerate, which is rather continuous and coherent than physical disturbance by new tectonic activities. Rock magnetic studies indicate that hematite is the main magnetic carriers. The section is dated back to about 2.8-1.37 Ma. Its paleocurrent flowed northeastward, which was a close and stagnant river and swamp environment about 2.2 Ma ago. Then it ran northwestward and turned into an open overflown and braid river sedimentary face during 2.2 to 1.57 Ma. Since 1.57 Ma, the paleocurrent flowed intensely northwestern and about 1.37 Ma ago, it ended the basically continuous fluvial-lacustrine deposition.

Análise térmica e mecânica de um compósito de matriz cerâmica com carga de EPS e raspa de pneu para construção de casas populares

Space Science was built using a composite made of plaster, EPS, shredded tires, cement and water. Studies were conducted to thermal and mechanical resistance. Inside the mold EPS plates were placed in order to obtain a higher thermal resistance on the wall constructed, as well as to give it an end environmentally friendly in view of both the tire and the EPS occupy a large space in landfills and year need to be degraded when released into the environment. Compression tests were performed according to ABNT blocks to seal, measurements of the temperature variation in the external and internal walls using a laser thermometer and check the temperature of the indoor environment using a thermocouple attached to a digital thermometer. The experiments demonstrated the heat provided by the composite values from the temperature difference between the internal and external surfaces on the walls, reaching levels of 12.4 ° C and room temperature in the interior space of the Science of 33.3 ° C, remaining within the zone thermal comfort for hot climate countries. It was also demonstrated the proper mechanical strength of such a composite for sealing walls. The proposed use of the composite can contribute to reducing the extreme housing shortage in our country, producing popular homes at low cost and with little time to work

Evolução da biodegradabilidade da matéria orgânica em um sistema de lagoas de estabilização

Waste stabilization ponds (WSP) have been widely used for sewage treatment in hot climate regions because they are economic and environmentally sustainable. In the present study a WSP complex comprising a primary facultative pond (PFP) followed by two maturation ponds (MP-1 and MP-2) was studied, in the city of Natal-RN. The main objective was to study the bio-degradability of organic matter through the determination of the kinetic constant k throughout the system. The work was carried out in two phases. In the first, the variability in BOD, COD and TOC concentrations and an analysis of the relations between these parameters, in the influent raw sewage, pond effluents and in specific areas inside the ponds was studied. In the second stage, the decay rate for organic matter (k) was determined throughout the system based on BOD tests on the influent sewage, pond effluents and water column samples taken from fixed locations within the ponds, using the mathematical methods of Least Squares and the Thomas equation. Subsequently k was estimated as a function of a hydrodynamic model determined from the dispersion number (d), using empirical methods and a Partial Hydrodynamic Evaluation (PHE), obtained from tracer studies in a section of the primary facultative pond corresponding to 10% of its total length. The concentrations of biodegradable organic matter, measured as BOD and COD, gradually reduced through the series of ponds, giving overall removal efficiencies of 71.95% for BOD and of 52.45% for COD. Determining the values for k, in the influent and effluent samples of the ponds using the mathematical method of Least Squares, gave the following values respectively: primary facultative pond (0,23 day-1 and 0,09 day-1), maturation 1 (0,04 day-1 and 0,03 day-1) and maturation 2 (0,03 day-1 and 0,08 day-1). When using the Thomas method, the values of k in the influents and effluents of the ponds were: primary facultative pond (0,17 day-1 and 0,07 day-1), maturation 1 (0,02 day-1 and 0,01 day-1) and maturation 2 (0,01 day-1 and 0,02 day-1). From the Partial Hydrodynamic Evaluation, in the first section of the facultative pond corresponding to 10% of its total length, it can be concluded from the dispersion number obtained of d = 0.04, that the hydraulic regime is one of dispersed flow with a kinetic constant value of 0.20 day-1

Classificação climática para os municípios de Botucatu e São Manuel, SP

Climatic classification defines the geographical limits of different climate types all over the world, and it is considered essential to study similar areas. This work updates the climatic classification of the municipal districts of Botucatu and of São Manuel, State of Sao Paulo, where the experimental farms of the Schools of Agronomical Sciences - UNESP, Campus of Botucatu, State of São Paulo, are located. Koppen's and Thornthwaite's methods were used for the air temperature and precipitation data, in a 36-year period (from 1971 to 2006). For both municipal districts of Botucatu and São Manuel, the climate was characterized as being Cfa, hot climate with rains in the summer and drought in the winter, and the average temperature in the hottest month is above 22 °C. According to Thornthwaite's classification, there was a small difference due to the humidity index, characterized as B2rB′3a′ (humid climate with small hydro deficiency - April, July and August, with annual potential evapotranspiration of 945.15 mm and concentration of the potential evapotranspiration in the summer of 33%) in the district of Botucatu, and as B1rB′3a′ (humid climate with small hidric deficiency - April, July and August, with annual potential evapotranspiration of 994.21 mm and concentration of the potential evapotranspiration in the summer of 33%)in the district of São Manuel.