When throughout the year is coronary death most likely to occur? A 12-year population-based analysis of more than 220 000 cases. (25/2516)

BACKGROUND: Previous studies have suggested that there is an increase in cardiac events in the morning. Fewer data relate cardiac events to months of the year and season. METHODS AND RESULTS: We analyzed all monthly death certificate data from Los Angeles County, California, for death caused by coronary artery disease from 1985 through 1996 (n=222 265). The mean number of deaths was highest in December at 1808 and January at 1925; the lowest rates were in June, July, August, and September at 1402, 1424, 1418, and 1371, respectively. December and January had significantly higher rates than would be expected from a uniform distribution of monthly deaths (P=0.00001). The percent of yearly coronary deaths was defined by the quadratic U-shaped equation [percent=13.1198-1.5238(month)+0. 0952(month(2)), where January=1, February=2, etc]. When monthly deaths were plotted by year, there was a decrease from 1985 through 1996. Monthly mortality correlated inversely with temperature. During the months with the highest frequency of death (December, January), however, there was an increase in deaths that peaked around the holiday season and then fell, which could not be explained solely on the basis of the daily temperature change. CONCLUSIONS: Even in the mild climate of Los Angeles County, there are seasonal variations in the development of coronary artery death, with approximately 33% more deaths occurring in December and January than in June through September. Although cooler temperatures may play a role, other factors such as overindulgence or the stress of the holidays might also contribute to excess deaths during these peak times.  (+info)

The impact of climate on the prevalence of respiratory tract infections in early childhood in Lahore, Pakistan. (26/2516)

BACKGROUND: Respiratory tract infections are a major health problem in developing countries. The aim of this study was to analyse the impact of the climate on the prevalence of upper respiratory tract infection (URTI) and lower respiratory tract infection (LRTI) in four socioeconomically different groups in a developing country. METHODS: A prospective cohort study was conducted among children in four socioeconomically different groups in Lahore, Pakistan. Monthly observations were made on 1476 infants born during 1984-1987 and followed for 24 months. Prevalence of URTI and LRTI was analysed according to age, area of living, family size, time of birth, the season of the year and climate variables such as rain, temperature and humidity. RESULTS: Low monthly average minimum day temperature was associated with high prevalence of URTI and LRTI. For LRTI the impact of temperature was larger for boys, children living in larger families and children living in the poorer areas. This pattern was not seen for URTI. A peak in prevalence for LRTI was shown at 5-6 months of age for LRTI and at 10-12 months of age for URTI. CONCLUSIONS: Temperature is related to prevalence of URTI and LRTI in a developing society. The effect of temperature on health varies between different subgroups. These effects should be considered in planning health actions to prevent respiratory tract infections.  (+info)

Water vole (Arvicola terrestris scherman) density as risk factor for human alveolar echinococcosis. (27/2516)

Concern is growing in Europe about alveolar echinococcosis (AE) with the increase in grassland rodent and red fox populations, intermediate and definitive hosts for Echinococcus multilocularis, respectively. The objective of this study was to assess the influence of rodent densities on human AE distribution. Spatial Poisson regression analyses were performed with geomorphologic features, landscape composition, climatic characteristics, and water vole density as independent variables. The outcome consisted of AE cases diagnosed over the period 1980-1992. High vole density yielded a 10-fold risk (relative risk [RR] = 10.34, 95% confidence interval [CI] = 2.78-38.39), and the first plateau (400-700 m altitude) compared with the plain (200-400 m) was associated with a large increase in risk (RR = 7.10, 95% CI = 1.30-38.63). These results confirm that human AE is strongly influenced by the densities of arvicolid species. Foxes feeding almost exclusively on grassland rodents when the latter expand could mediate this relation.  (+info)

Warmth and comfort in the subtropical winter: a study in Brisbane schools. (28/2516)

Winter thermal sensations of secondary and primary school-children in Queensland are related to air temperature. Neutrality is estimated by regression analysis of over 6000 assessments and a lower comfort limit is suggested to include 80% of the children. Cold discomfort is seen as the main problem, and comparison is made to an earlier study in England.  (+info)

Cooccurrence of elevated urea levels and dinoflagellate blooms in temperate estuarine aquaculture ponds. (29/2516)

In hybrid striped bass aquaculture ponds, dinoflagellate blooms were found on 10 of 14 occasions to co-occur with concentrations of urea in excess of 1.5 microM nitrogen. When urea levels were <1.5 microM nitrogen, on seven occasions, no evidence of dinoflagellate blooms was observed in these ponds.  (+info)

Climate, traffic-related air pollutants, and asthma prevalence in middle-school children in taiwan. (30/2516)

This study compared the prevalence of asthma with climate and air pollutant data to determine the relationship between asthma prevalence and these factors. We conducted a nationwide survey of respiratory illness and symptoms in middle-school students in Taiwan. Lifetime prevalences of physician-diagnosed asthma and of typical symptoms of asthma were compared to air monitoring station data for temperature, relative humidity, sulfur dioxide, nitrogen oxides, ozone, carbon monoxide, and particulate matter with aerodynamic diameter [less than/equal to] 10 microm (PM(10)). A total of 331,686 nonsmoking children attended schools located within 2 km of 55 stations. Asthma prevalence rates adjusted for age, history of atopic eczema, and parental education were associated with nonsummer (June-August) temperature, winter (January-March) humidity, and traffic-related air pollution, especially carbon monoxide and nitrogen oxides, for both girls and boys. Nonsummer temperature, winter humidity, and traffic-related air pollution, especially carbon monoxide and nitrogen oxides, were positively associated with the prevalence of asthma in middle-school students in Taiwan.  (+info)

Prevalence of cutaneous evaporation in Merriam's kangaroo rat and its adaptive variation at the subspecific level. (31/2516)

Previous estimates suggested that ventilatory evaporation constitutes the major source of water loss in kangaroo rats (Dipodomys spp.). We quantified rates of water loss in Merriam's kangaroo rat (Dipodomys merriami) and demonstrate the degree to which acclimation to a particular thermal and hydric environment plays a role in the intraspecific variation in water loss evident in this species. We draw the following conclusions: (1) that water loss varies intraspecifically in Merriam's kangaroo rat, in association with habitats of contrasting aridity and temperature; (2) that animals from more xeric locations have lower water loss rates than those from more mesic sites; (3) that most water loss is cutaneous, with ventilatory evaporative water loss contributing, at most, only 44% to total evaporative water loss; and (4) that intraspecific differences in rates of water loss are not acclimatory, but fixed. After acclimating under the same conditions, xeric-site animals still show a 33% lower rate of evaporative water loss than mesic-site animals.  (+info)

Ecology of mosquitoes (Diptera: culicidae) in areas of Serra do Mar State Park, State of Sao Paulo, Brazil. I - monthly frequency and climatic factors. (32/2516)

The ecology of mosquitoes were studied (Diptera: Culicidae) in areas of Serra do Mar State Park, State of Sao Paulo, Brazil. Systematized monthly human bait collections were made three times a day, for periods of 2 or 3 h each, in sylvatic and rural areas for 24 consecutive months (January 1991 to December 1992). A total of 24, 943 specimens of adult mosquitoes belonging to 57 species were collected during 622 collective periods. Coquillettidia chrysonotum was the most frequent collected mosquito (45.8%) followed by Aedes serratus (6.8%), Cq. venezuelensis (6.5%), Psorophora ferox (5.2) and Ps. albipes (3.1%). The monthly averages of temperature and relative humidity were inserted in the ten-year average limits of maximum and minimum of the previous ten-years. Rainfall accompanied the curve of the ten-year averages. Those climatic factors were influential in the incidence of some species; temperature: Anopheles cruzii, An. mediopunctatus, Ae. scapularis, Ae. fulvus, Cq. chrysonotum, Cq. venezuelensis, Runchomyia reversa, Wyeomyia dyari, Wy. confusa, Wy. shannoni, Wy. theobaldi and Limatus flavisetosus; relative humidity: Ae. serratus, Ae. scapularis, Cq. venezuelensis and Ru. reversa; rainfall: An. cruzii, Ae. scapularis, Ae. fulvus, Cq. venezuelensis Ru. reversa, Wy. theobaldi and Li. flavisetosus.  (+info)